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Contact Information

IMMEDIATE CARE OF OKLAHOMA, LLC
502 NORTH BROADWAY
TECUMSEH, OK74873
 Phone: 405-600-6869
 Fax: 405-600-6978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for IMMEDIATE CARE OF OKLAHOMA, LLC

NPI # 1588266753
LBN Legal business name IMMEDIATE CARE OF OKLAHOMA, LLC
Authorized official KEVIN PENWELL - (PRESIDENT/COM)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2020
Last updated 11/12/2020 - About 6 years ago
Identifiers
OK Medicaid 200459760
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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