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Contact Information

MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
1301 E LINCOLN ROAD
IDABEL, OK74745-7300
 Phone: 580-286-7623
 Fax: 580-208-3199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.

NPI # 1184838203
LBN Legal business name MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Authorized official KENA ALLEN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/09/2007
Last updated 04/25/2023 - About 3 years ago
Identifiers
OK Medicaid 100700920B
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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