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Contact Information

LONG TERM CARE SPECIALISTS, INC
5721 NW 132ND ST
OKLAHOMA CITY, OK73142-4437
 Phone: 405-557-1200
 Fax: 405-557-1977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LONG TERM CARE SPECIALISTS, INC

NPI Number 1497761159
LBN Legal business name LONG TERM CARE SPECIALISTS, INC
Authorized official JILLIAN HERNDON - (BILLING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 10/22/2024 - More than a year ago
Identifiers
OK Medicaid 100736840A
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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