Anderson Family Medical Clinic, Llc

LBN: Anderson Family Medical Clinic, Llc
Anderson Family Medical Clinic, Llc is an health care organization with primary practice located at 2505 N Broadway St , Poteau OK 74953-2050. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Anderson Family Medical Clinic, Llc can be contacted via phone (918) 564-2726, or through Anderson, Shelly Dawn via phone (918) 564-2726.

Contact Information

Primary practice address
2505 N Broadway St Poteau OK 74953-2050
Phone: (918) 564-2726
Fax: (918) 564-2732
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Shelly Dawn DNP, APRN-CNP
Phone: (918) 564-2726

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1790398360
LBN Legal business name Anderson Family Medical Clinic, Llc
DBA Doing business as
Authorized official Anderson, Shelly Dawn DNP, APRN-CNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2020
Last updated Jul 17th, 2022 - about 2 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 1790398360 NPPES
Oklahoma MEDICAID 200571200A

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