| Organization Name: | HOSPICE OF NORTH CENTRAL OKLAHOMA, INC. |
| NPI Number: | 1043201890 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTA R. SULLIVAN (CEO) |
| Mailing Address: | 1904 N Union St Suite 103 Ponca City |
| State: | OK US |
| Postal Code: | 746011542 |
| Phone Number: | 5807629102 |
| Fax Number: | 5807629111 |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |