Provider Demographics
NPI:1447247721
Name:SAYRE HEALTH CARE
Entity type:Organization
Organization Name:SAYRE HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-928-2494
Mailing Address - Street 1:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:OK
Mailing Address - Zip Code:73662-0465
Mailing Address - Country:US
Mailing Address - Phone:580-928-2494
Mailing Address - Fax:580-928-2495
Practice Address - Street 1:1/4 MI E OF COURTHOUSE ON HWY 152
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:OK
Practice Address - Zip Code:73662
Practice Address - Country:US
Practice Address - Phone:580-928-2494
Practice Address - Fax:580-928-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH0502-0502251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care