Clinic At 410

LBN: Clinic At 410
Clinic At 410 is an health care organization with primary practice located at 410 Hwy 70 , Kingston OK 73439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clinic At 410 can be contacted via phone (580) 565-9975, or through Matchen, Tressa Antionette via phone (580) 565-9975.

Contact Information

Primary practice address
410 Hwy 70 Kingston OK 73439
Phone: (580) 565-9975
Fax: (888) 241-2340
Website:
Map and Directions
Authorized official contact:
Name: Matchen, Tressa Antionette NURSE PRACTITIONER
Phone: (580) 565-9975

Health care specialties

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

Profile Details

NPI number 1144065012
LBN Legal business name Clinic At 410
DBA Doing business as
Authorized official Matchen, Tressa Antionette NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2024
Last updated Jul 1st, 2024 - 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.

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