Acacia Medical Group
LBN: Acacia Medical Group
Acacia Medical Group is an health care organization with primary practice located at 2010 W Houston St , Broken Arrow OK 74012-8303. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Acacia Medical Group can be contacted via phone (918) 258-2641, or through Whitehouse, Keith via phone (918) 258-2641.
Contact Information
Primary practice address
2010 W Houston St
Broken Arrow OK 74012-8303
Phone: (918) 258-2641
Fax: (918) 259-1905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1851400659 |
---|---|
LBN Legal business name | Acacia Medical Group |
DBA Doing business as | |
Authorized official | Whitehouse, Keith |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Jun 12th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851400659 | NPPES |
Oklahoma | MEDICAID | 200069800A |
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