Vici Community Clinic

LBN: Cah Acquisition Company 9 Llc
Vici Community Clinic is an health care organization with primary practice located at 104 W. Broadway , Vici OK 73859-5900. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Cah Acquisition Company 9 Llc can be contacted via phone (580) 995-3004, or through Parker, Timothy R via phone (580) 922-7361.

Contact Information

Primary practice address
104 W. Broadway Vici OK 73859-5900
Phone: (580) 995-3004
Fax: (580) 922-3006
Website:
Map and Directions
Authorized official contact:
Name: Parker, Timothy R
Phone: (580) 922-7361

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2256 Oklahoma
Ambulatory Health Care Facilities / Rural Health 261QR1300X 2256 Oklahoma

Profile Details

NPI number 1982934261
LBN Legal business name Cah Acquisition Company 9 Llc
DBA Doing business as Vici Community Clinic
Authorized official Parker, Timothy R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Nov 5th, 2013 - about 12 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 1982934261 NPPES
Oklahoma MEDICAID 200287200C

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