Provider Demographics
NPI:1053984518
Name:ASPIRE HEALTH MANAGEMENT, LLC
Entity type:Organization
Organization Name:ASPIRE HEALTH MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER (APRN)/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SCHUERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-617-5262
Mailing Address - Street 1:216 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-3612
Mailing Address - Country:US
Mailing Address - Phone:918-617-5262
Mailing Address - Fax:
Practice Address - Street 1:213 N BROADWAY
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426
Practice Address - Country:US
Practice Address - Phone:918-617-5262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care