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Contact Information

ALTUS PREMIER HEALTH CLINIC P.L.L.C.
304 S PARK LN STE B
ALTUS, OK73521-5754
 Phone: 580-379-6550
 Fax: 580-379-6559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ALTUS PREMIER HEALTH CLINIC P.L.L.C.

NPI # 1528408523
LBN Legal business name ALTUS PREMIER HEALTH CLINIC P.L.L.C.
Authorized official ABDALLAH DAWOD - (M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2013
Last updated 04/19/2016 - About 10 years ago
Identifiers
OK License # 24330
OK Medicaid 200053860B
OK Medicaid 200527450A
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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