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Contact Information

DESTINY URGENT AND PRIMARY CARE CLINIC. LLC
1818 N HIGHWAY 66 STE B
CATOOSA, OK74015-3052
 Phone: 417-317-3388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Primary Care

261QP2300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for DESTINY URGENT AND PRIMARY CARE CLINIC. LLC

NPI # 1437738804
LBN Legal business name DESTINY URGENT AND PRIMARY CARE CLINIC. LLC
Authorized official ERNEST MAINA - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2021
Last updated 04/22/2021 - About 5 years ago
Identifiers
OK Other 1740751445 NPI#
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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