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Contact Information

MEDWISE LLC
6336 E ADMIRAL PL
TULSA, OK74115
 Phone: 918-727-2831
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for MEDWISE LLC

NPI Number 1538981204
LBN Legal business name MEDWISE LLC
Authorized official DENNIS BLACKSTAD - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/24/2024
Last updated 03/19/2025 - More than a year ago
Identifiers n/a
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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