Ou Physicians Latino Clinic

LBN: Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Latino Clinic
Ou Physicians Latino Clinic is an health care organization with primary practice located at 420 Sw 10 , Okc OK 73160. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Latino Clinic can be contacted via phone (405) 232-4160, or through Maddy, Brian via phone (405) 271-1515.

Contact Information

Primary practice address
420 Sw 10 Okc OK 73160
Phone: (405) 232-4160
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maddy, Brian
Phone: (405) 271-1515

Health care specialties

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

Profile Details

NPI number 1497840904
LBN Legal business name Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Latino Clinic
DBA Doing business as Ou Physicians Latino Clinic
Authorized official Maddy, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated May 12th, 2010 - about 15 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 1497840904 NPPES
Oklahoma MEDICAID 100744720X
Oklahoma MEDICAID 200284890A

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