Utica Park Clinic
LBN: Ahs Oklahoma Physician Group Llc
Utica Park Clinic is an health care organization with primary practice located at 1145 S Utica Ave Suite 110, Tulsa OK 74104-4000. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ahs Oklahoma Physician Group Llc can be contacted via phone (918) 579-3826, or through Mudd, Brandon via phone (918) 579-1841.
Contact Information
Primary practice address
1145 S Utica Ave Suite 110
Tulsa OK 74104-4000
Phone: (918) 579-3826
Fax: (918) 579-1262
Website:
Health care specialties
Profile Details
| NPI number | 1235182775 |
|---|---|
| LBN Legal business name | Ahs Oklahoma Physician Group Llc |
| DBA Doing business as | Utica Park Clinic |
| Authorized official | Mudd, Brandon CFO |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 2nd, 2020 - about 4 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 | 1235182775 | NPPES |
| Oklahoma | MEDICAID | 200044160A |
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