Eliza Jane Baldridge
Case Manager/Care Coordinator in Tahlequah, OK. Individual provider (NPI-1).
NPI number1750151353
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1750151353
- Entity type
- Individual (NPI-1)
- Name
- Eliza Jane Baldridge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2024
- Certification date
- Jan 4, 2024
- Last updated
- Jan 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
19600 E Ross StTahlequah, OK 74464-0545
Phone 539-234-3500
Mailing address
17500 W Seth LnTahlequah, OK 74464-0359
Phone 918-330-1922
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 101 Case Manager/Care Coordinator providers in Tahlequah · All 1,444 providers in Tahlequah
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