Eastern Oklahoma Medical Consultants, Pllc

LBN: Eastern Oklahoma Medical Consultants, Pllc
Eastern Oklahoma Medical Consultants, Pllc is an health care organization with primary practice located at 700 N Main St , Gore OK 74435-2013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Eastern Oklahoma Medical Consultants, Pllc can be contacted via phone (918) 489-5757, or through Keathley, Shelly F via phone (918) 489-5757.

Contact Information

Primary practice address
700 N Main St Gore OK 74435-2013
Phone: (918) 489-5757
Fax: (918) 489-5411
Website:
Map and Directions
Authorized official contact:
Name: Keathley, Shelly F
Phone: (918) 489-5757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1588147938
LBN Legal business name Eastern Oklahoma Medical Consultants, Pllc
DBA Doing business as
Authorized official Keathley, Shelly F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2018
Last updated Sep 12th, 2018 - about 7 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 1588147938 NPPES
Oklahoma MEDICAID 100126480A
Oklahoma MEDICAID 200454880A

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