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Contact Information

GEMINI MEDICAL GROUP
701 LEAHY
PAWHUSKA, OK74056
 Phone: 918-287-1310
 Fax: 918-287-1727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GEMINI MEDICAL GROUP

NPI Number 1265591416
LBN Legal business name GEMINI MEDICAL GROUP
Authorized official GAYLE BURDEN - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 07/19/2011 - About 15 years ago
Identifiers
OK License # 2973
OK Medicaid 100745780A
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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