OAK MEDICAL LLC; NPI #1134106727

Contact Information

OAK MEDICAL LLC

2301 N 44TH ST
PHOENIX, AZ 85008-2420

Phone: 602-808-8786
Fax: 602-808-8704
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for OAK MEDICAL LLC

NPI # 1134106727

LBN Legal business name OAK MEDICAL LLC

Authorized official RENEE BISKUPSKI - (VP OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/27/2005

Last updated 03/19/2008 - About 18 years ago

Identifiers

AZ	License #	OTC2678
AZ	Medicaid	630641

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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