Cms Outpatient Clinic Inc.

LBN: Cms Outpatient Clinic Inc.
Cms Outpatient Clinic Inc. is an health care organization with primary practice located at 201 N Monte Vista St Suite C, Ada OK 74820-7220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cms Outpatient Clinic Inc. can be contacted via phone (580) 310-0015, or through Stafford, Michael R, via phone (580) 310-0015.

Contact Information

Primary practice address
201 N Monte Vista St Suite C Ada OK 74820-7220
Phone: (580) 310-0015
Fax: (580) 310-0909
Website:
Map and Directions
Authorized official contact:
Name: Stafford, Michael R, Doctor of Osteopathy (DO)
Phone: (580) 310-0015

Health care specialties

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

Profile Details

NPI number 1154489540
LBN Legal business name Cms Outpatient Clinic Inc.
DBA Doing business as
Authorized official Stafford, Michael R, Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 17th, 2009 - about 15 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 1154489540 NPPES
Oklahoma MEDICAID 200039450B
Oklahoma MEDICAID 200039450A

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