Eastpointe Medical Clinic Inc

LBN: Eastpointe Medical Clinic Inc
Eastpointe Medical Clinic Inc is an health care organization with primary practice located at 1506 S Broadway St , Poteau OK 74953-2900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Eastpointe Medical Clinic Inc can be contacted via phone (903) 495-1105, or through Shaw, Roxann via phone (903) 495-1105.

Contact Information

Primary practice address
1506 S Broadway St Poteau OK 74953-2900
Phone: (903) 495-1105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Roxann
Phone: (903) 495-1105

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1558733782
LBN Legal business name Eastpointe Medical Clinic Inc
DBA Doing business as
Authorized official Shaw, Roxann
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2015
Last updated Feb 6th, 2017 - about 8 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 1558733782 NPPES
Oklahoma MEDICAID 200633990A

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