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Contact Information

THE SPECIALTY CARE CLINIC
4127 NW 122ND ST STE E
OKLAHOMA CITY, OK73120-8880
 Phone: 405-276-8076
 Fax: 405-276-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Licensed Practical Nurse

164W00000X
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THE SPECIALTY CARE CLINIC

NPI # 1518547702
LBN Legal business name THE SPECIALTY CARE CLINIC
Authorized official JAMI REED - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2021
Last updated 04/15/2021 - About 5 years ago
Identifiers
OK Medicaid 1255358891
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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