Crossroads Medical Management Pc

LBN: Crossroads Medical Management Pc
Crossroads Medical Management Pc is an health care organization with primary practice located at 2508 N Harrison , Shawnee OK 74804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crossroads Medical Management Pc can be contacted via phone (405) 585-2030, or through Conaway, Keith via phone (405) 585-2030.

Contact Information

Primary practice address
2508 N Harrison Shawnee OK 74804
Phone: (405) 585-2030
Fax: (405) 585-0318
Website:
Map and Directions
Authorized official contact:
Name: Conaway, Keith Doctor of Medicine (MD)
Phone: (405) 585-2030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19091

Profile Details

NPI number 1780011874
LBN Legal business name Crossroads Medical Management Pc
DBA Doing business as
Authorized official Conaway, Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2013
Last updated Oct 16th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780011874 NPPES
Oklahoma MEDICAID 100131940B

Popular Providers