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Contact Information

SANFORD CLINIC
2502 W. ELK AVE.
DUNCAN, OK73533
 Phone: 580-354-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SANFORD CLINIC

NPI # 1740416395
LBN Legal business name SANFORD CLINIC
Authorized official STEVE GOETSCH - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2009
Last updated 09/11/2009 - About 17 years ago
Identifiers
OK Medicaid 200253670A
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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