Pamela Grubb | Shawnee, OK • PECOS Search

Pamela Grubb

Case Manager/Care Coordinator

Other Service Providers

1010 E 45th St, Shawnee, OK 74804-2202

PECOS Enrollment

Based on the most recent information from CMS, provider Pamela Grubb does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1659709301
Provider Type
Individual
Full Name
Grubb, Pamela
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/16/2013
Last Updated
10/16/2013

Contact Information

Practice Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Mailing Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer