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Contact Information

MILLENNIUM MEDICAL SERVICES, L.L.C.
448 36TH AVE NW STE 101
NORMAN, OK73072-4743
 Phone: 888-573-7792
 Fax: 888-753-8162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MILLENNIUM MEDICAL SERVICES, L.L.C.

NPI Number 1245286285
LBN Legal business name MILLENNIUM MEDICAL SERVICES, L.L.C.
Authorized official WADE HAMIL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2006
Last updated 02/22/2022 - About 4 years ago
Identifiers
OK Medicaid 200004820A
OK Other DA0514 MEDICARE - RAILROAD GROUP
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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