Crouch Family Medicine Pc

LBN: Crouch Family Medicine Pc
Crouch Family Medicine Pc is an health care organization with primary practice located at 806 Manvel Ave , Chandler OK 74834-3858. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Crouch Family Medicine Pc can be contacted via phone (405) 258-9955, or through Crouch, Robin Lee via phone (405) 258-9955.

Contact Information

Primary practice address
806 Manvel Ave Chandler OK 74834-3858
Phone: (405) 258-9955
Fax: (405) 258-9930
Website:
Map and Directions
Authorized official contact:
Name: Crouch, Robin Lee
Phone: (405) 258-9955

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 4290 Oklahoma

Profile Details

NPI number 1609093228
LBN Legal business name Crouch Family Medicine Pc
DBA Doing business as
Authorized official Crouch, Robin Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Mar 4th, 2013 - about 11 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 1609093228 NPPES
Oklahoma Other 6147210001 PTAN
Oklahoma Other 9060050 PTAN
Oklahoma Other 1618242 PTAN
Oklahoma Other 37D1067992 PTAN
Oklahoma Other 200116520A PTAN
Oklahoma MEDICAID 200116520A PTAN
Oklahoma Other OKA104243 PTAN
Oklahoma Other P00465778 PTAN
Oklahoma Other 1215222666 PTAN
Oklahoma Other 1497890115 PTAN
Oklahoma Other 4474235 PTAN
Oklahoma Other 1609093228 PTAN
Oklahoma Other 243722101 PTAN
Oklahoma Other 300522328 PTAN
Oklahoma Other 200116510A PTAN
Oklahoma MEDICAID 200116510A PTAN
Oklahoma Other 6147210001 PTAN
Oklahoma Other DG9878 PTAN

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