National Provider Identifier Database

URGENT CARE OF GREEN COUNTRY PLLC
Urgent Care


Contact Information

URGENT CARE OF GREEN COUNTRY PLLC
4115 REDDEN
PRYOR CREEK, OK74361
Phone: 918-825-7555
Fax: 918-825-7556
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for URGENT CARE OF GREEN COUNTRY PLLC

NPI Number 1043460694
Legal business name
LBN
URGENT CARE OF GREEN COUNTRY PLLC
Authorized official STEPHEN KOVACS - (PARTNER/CO OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/19/2008
Last updated 11/19/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200094640D
  • OK Other: 7835422 AETNA
  • OK Other: 200094640F MEDICAID DME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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