Broken Arrow Family Clinic Inc

LBN: Broken Arrow Family Clinic Inc
Broken Arrow Family Clinic Inc is an health care organization with primary practice located at 705 W Oakland St , Broken Arrow OK 74012-1656. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Broken Arrow Family Clinic Inc can be contacted via phone (918) 251-2666, or through Coder, Brian via phone (918) 251-2666.

Contact Information

Primary practice address
705 W Oakland St Broken Arrow OK 74012-1656
Phone: (918) 251-2666
Fax: (918) 258-7790
Website:
Map and Directions
Authorized official contact:
Name: Coder, Brian
Phone: (918) 251-2666

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1577 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1530 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1827 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3252 Oklahoma

Profile Details

NPI number 1497966303
LBN Legal business name Broken Arrow Family Clinic Inc
DBA Doing business as
Authorized official Coder, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated May 16th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497966303 NPPES
Oklahoma MEDICAID 100090910A
Oklahoma MEDICAID 100258080A
Oklahoma MEDICAID 100177740A
Oklahoma MEDICAID 100183270A
Oklahoma MEDICAID 100257900A
Oklahoma Other 1427164888
Oklahoma Other 1679502173
Oklahoma Other 1811923949
Oklahoma MEDICAID 100090910B
Oklahoma MEDICAID 100178470A
Oklahoma MEDICAID 1001257870A
Oklahoma Other 1447234885

Popular Providers