15Th Street Clinic

LBN: 15Th Street Clinic
15Th Street Clinic is an health care organization with primary practice located at 180 W 15Th St Ste 100 , Edmond OK 73013-3601. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. 15Th Street Clinic can be contacted via phone (405) 420-3937, or through Poole, Edward via phone (405) 420-3937.

Contact Information

Primary practice address
180 W 15Th St Ste 100 Edmond OK 73013-3601
Phone: (405) 420-3937
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poole, Edward
Phone: (405) 420-3937

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1861059388
LBN Legal business name 15Th Street Clinic
DBA Doing business as
Authorized official Poole, Edward
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2019
Last updated May 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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