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Contact Information

BLACKWELL HMPN, LLC
710 S 13TH ST
BLACKWELL, OK74631-3700
 Phone: 580-363-9475
 Fax: 580-363-9463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLACKWELL HMPN, LLC

NPI Number 1700132404
LBN Legal business name BLACKWELL HMPN, LLC
Authorized official MICHAEL GINGRAS - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/31/2012
Last updated 11/27/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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