National Provider Identifier Database

IMMEDIATE CARE OF OKLAHOMA LLC
Urgent Care


Contact Information

IMMEDIATE CARE OF OKLAHOMA, LLC
502 NORTH BROADWAY
TECUMSEH, OK74873
Phone: 405-600-6869
Fax: 405-600-6978
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for IMMEDIATE CARE OF OKLAHOMA, LLC

NPI Number 1588266753
Legal business name
LBN
IMMEDIATE CARE OF OKLAHOMA, LLC
Authorized official KEVIN PENWELL - (PRESIDENT/COM)
Entity Organization
Organization subpart No
Enumeration date 11/12/2020
Last updated 11/12/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200459760

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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