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Contact Information

OWASSO MEDICAL FACILITY LLC
12451 E 100TH ST N
OWASSO, OK74055-4600
 Phone: 918-274-5046
 Fax: 918-274-5148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OWASSO MEDICAL FACILITY LLC

NPI Number 1437226917
LBN Legal business name OWASSO MEDICAL FACILITY LLC
Authorized official DAVID PHILLIPS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 25121
Other 3724728 OTHER ID NUMBER-COMMERCIAL NUMBER
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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