Broken Arrow Medical Group Llc
LBN: Broken Arrow Medical Group Llc
Broken Arrow Medical Group Llc is an health care organization with primary practice located at 9001 S. 101St E. Ave Ste 350, Tulsa OK 74133. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Broken Arrow Medical Group Llc can be contacted via phone (918) 392-5500, or through Brewer, Debbie T via phone (877) 892-9813.
Contact Information
Primary practice address
9001 S. 101St E. Ave Ste 350
Tulsa OK 74133
Phone: (918) 392-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1386676153 |
|---|---|
| LBN Legal business name | Broken Arrow Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 24th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386676153 | NPPES |
| Oklahoma | MEDICAID | 200100460A |
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