Bethany Medical Clinic, Pllc

LBN: Bethany Medical Clinic, Pllc
Bethany Medical Clinic, Pllc is an health care organization with primary practice located at 6801 Nw 39Th Expy , Bethany OK 73008-2501. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Bethany Medical Clinic, Pllc can be contacted via phone (405) 789-2441, or through Brant, Douglas W. via phone (405) 789-2441.

Contact Information

Primary practice address
6801 Nw 39Th Expy Bethany OK 73008-2501
Fax:
Website:
Authorized official contact:
Name: Brant, Douglas W. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 9222 Oklahoma

Profile Details

NPI number 1255522306
LBN Legal business name Bethany Medical Clinic, Pllc
DBA Doing business as
Authorized official Brant, Douglas W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255522306 NPPES
Oklahoma Other CH9820 MEDICARE RR GROUP

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