Utica Park Clinic Family Care

LBN: Ahs Henryetta Hospital Llc
Utica Park Clinic Family Care is an health care organization with primary practice located at 2403 W Main St , Henryetta OK 74437. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Ahs Henryetta Hospital Llc can be contacted via phone (918) 652-6950, or through Petrovich, Stephen C. via phone (615) 296-3000.

Contact Information

Primary practice address
2403 W Main St Henryetta OK 74437
Phone: (918) 652-6950
Fax: (918) 652-7827
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C.
Phone: (615) 296-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1871008722
LBN Legal business name Ahs Henryetta Hospital Llc
DBA Doing business as Utica Park Clinic Family Care
Authorized official Petrovich, Stephen C.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2017
Last updated Jun 4th, 2019 - about 5 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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