| Organization Name: | MCCORTNEY FAMILY HOSPICE, INC |
| NPI Number: | 1962593301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY KILLEN MCCORTNEY (ADMINISTRATOR / PRESIDENT) |
| Mailing Address: | 117 S Broadway Ave Ada |
| State: | OK US |
| Postal Code: | 748205801 |
| Phone Number: | 5803326900 |
| Fax Number: | 5803323969 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |