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Contact Information

FEDCARE, LLC
1801 N BROADWAY AVE
OKLAHOMA CITY, OK73103-3446
 Phone: 405-219-2651
 Fax: 405-429-5191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Legal Medicine

209800000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for FEDCARE, LLC

NPI Number 1083585491
LBN Legal business name FEDCARE, LLC
Authorized official EMILI GRAGG - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2025
Last updated 09/17/2025 - About 9 months 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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