Provider Demographics
NPI:1871350447
Name:COMPREHENSIVE HEALTHCARE PROVIDERS, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:HOLLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-906-3375
Mailing Address - Street 1:301 LILAC DR STE 140
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7288
Mailing Address - Country:US
Mailing Address - Phone:405-906-3375
Mailing Address - Fax:
Practice Address - Street 1:301 LILAC DR STE 140
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7288
Practice Address - Country:US
Practice Address - Phone:405-906-3755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty