Altus Premier Health Clinic P.L.L.C.

LBN: Altus Premier Health Clinic P.L.L.C.
Altus Premier Health Clinic P.L.L.C. is an health care organization with primary practice located at 304 S Park Ln Ste B , Altus OK 73521-5754. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Altus Premier Health Clinic P.L.L.C. can be contacted via phone (580) 379-6550, or through Dawod, Abdallah S via phone (580) 379-6550.

Contact Information

Primary practice address
304 S Park Ln Ste B Altus OK 73521-5754
Phone: (580) 379-6550
Fax: (580) 379-6559
Website:
Map and Directions
Authorized official contact:
Name: Dawod, Abdallah S Doctor of Medicine (MD)
Phone: (580) 379-6550

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 24330 Oklahoma

Profile Details

NPI number 1528408523
LBN Legal business name Altus Premier Health Clinic P.L.L.C.
DBA Doing business as
Authorized official Dawod, Abdallah S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2013
Last updated Apr 19th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528408523 NPPES
Oklahoma MEDICAID 200053860B
Oklahoma MEDICAID 200527450A

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