OrganizationCareatc - AspenClinic/CenterAmbulatory Health Care FacilitiesPractice Address1749 N Aspen Ave, #1757, Broken Arrow, OK 74012-1197(918) 747-9740PECOS EnrollmentBased on the most recent information from CMS, provider Careatc - Aspen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104370535Provider TypeOrganizationFull NameCareatc - AspenSubpartNoEnumeration Date8/15/2016Last Updated8/15/2016Contact InformationPractice LocationPractice Address1749 N Aspen Ave, #1757, Broken Arrow, OK 74012-1197Phone(918) 747-9740Fax(918) 779-7434Mailing LocationMailing Address1749 N Aspen Ave, #1757, Broken Arrow, OK 74012-1197Phone(918) 747-9740Fax(918) 779-7434Authorized OfficialNameGucwa, Keith (Director Of Purchasing And Faciliti)Phone(918) 779-7416Provider TaxonomiesCodeDescriptionLicenseCode261QP2300XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer