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Blue River Healthcare Inc.

Nursing Facility/Intermediate Care Facility in Tishomingo, OK · enumerated 2006 · authorized official Vetress Holt, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528159266

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Registry record

Entity type Organization (Type 2)
Legal business name Blue River Healthcare Inc.
Other name <Unavail>
Practice address 1105 E Main St, Tishomingo, OK, 73460
Fax (580) 371-3890
Enumeration date Sep 27, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License NH35013501 (OK) Primary

Authorized official

Name Vetress Holt
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Blue River Healthcare Inc. located?
The practice location on file with NPPES is in Tishomingo, OK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.