401 Medical Center

LBN: 401 Medical Center Pllc
401 Medical Center is an health care organization with primary practice located at 401 E Downing St , Tahlequah OK 74464-3015. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. 401 Medical Center Pllc can be contacted via phone (918) 316-3764, or through Denton, Nancy E. via phone (918) 316-6369.

Contact Information

Primary practice address
401 E Downing St Tahlequah OK 74464-3015
Fax: (918) 398-8982
Website:
Authorized official contact:
Name: Denton, Nancy E. APRN-CNP, FNP-BC

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1063296937
LBN Legal business name 401 Medical Center Pllc
DBA Doing business as 401 Medical Center
Authorized official Denton, Nancy E. APRN-CNP, FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2023
Last updated Aug 24th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1063296937 NPPES
Oklahoma Other 1013603232 NPI
Oklahoma MEDICAID 201173250A NPI

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