URGENT CARE OF GREEN COUNTRY PLLC; NPI #1043460694

Contact Information

URGENT CARE OF GREEN COUNTRY PLLC

4115 REDDEN
PRYOR CREEK, OK 74361

Phone: 918-825-7555
Fax: 918-825-7556
Website: http://ugc.nextcare.com/locations/pryor/

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for URGENT CARE OF GREEN COUNTRY PLLC

NPI Number 1043460694

LBN Legal business name URGENT CARE OF GREEN COUNTRY PLLC

Authorized official STEPHEN KOVACS - (PARTNER/CO OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/19/2008

Last updated 11/19/2009 - About 17 years ago

Identifiers

OK	Medicaid	200094640D
OK	Other	7835422	AETNA
OK	Other	200094640F	MEDICAID DME

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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