Oklahoma City Clinic, Pc

LBN: Centennial Health, Pc
Oklahoma City Clinic, Pc is an health care organization with primary practice located at 1720 Ne 23Rd St , Oklahoma City OK 73111-3324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Centennial Health, Pc can be contacted via phone (405) 280-5550, or through Chilton, Barbara via phone (405) 280-5634.

Contact Information

Primary practice address
1720 Ne 23Rd St Oklahoma City OK 73111-3324
Phone: (405) 280-5550
Fax: (405) 280-5780
Website:
Map and Directions
Authorized official contact:
Name: Chilton, Barbara
Phone: (405) 280-5634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1376585034
LBN Legal business name Centennial Health, Pc
DBA Doing business as Oklahoma City Clinic, Pc
Authorized official Chilton, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 3rd, 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 1376585034 NPPES
Oklahoma MEDICAID 100728970A

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