Claremore Health Associates Llc

LBN: Claremore Health Associates Llc
Claremore Health Associates Llc is an health care organization with primary practice located at 1408 N Florence Ave , Claremore OK 74017-3159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Claremore Health Associates Llc can be contacted via phone (918) 341-1044, or through Korgan, Dwight J via phone (918) 341-1044.

Contact Information

Primary practice address
1408 N Florence Ave Claremore OK 74017-3159
Phone: (918) 341-1044
Fax: (918) 341-7443
Website:
Map and Directions
Authorized official contact:
Name: Korgan, Dwight J Doctor of Medicine (MD)
Phone: (918) 341-1044

Health care specialties

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

Profile Details

NPI number 1982722195
LBN Legal business name Claremore Health Associates Llc
DBA Doing business as
Authorized official Korgan, Dwight J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 11th, 2024 - about 5 months 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 1982722195 NPPES
Oklahoma MEDICAID 100120320A
Oklahoma MEDICAID 100150500A
Oklahoma MEDICAID 100069280A

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