Family Medical Clinic Of Western Oklahoma

LBN: Erick Derocher D O Inc
Family Medical Clinic Of Western Oklahoma is an health care organization with primary practice located at 411 N Randall Ave , Elk City OK 73644-4127. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Erick Derocher D O Inc can be contacted via phone (580) 243-2273, or through Derocher, Erick Charles via phone (580) 243-2273.

Contact Information

Primary practice address
411 N Randall Ave Elk City OK 73644-4127
Phone: (580) 243-2273
Fax: (580) 243-2832
Website:
Map and Directions
Authorized official contact:
Name: Derocher, Erick Charles Doctor of Osteopathy (DO)
Phone: (580) 243-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OK2573 Oklahoma

Profile Details

NPI number 1316039688
LBN Legal business name Erick Derocher D O Inc
DBA Doing business as Family Medical Clinic Of Western Oklahoma
Authorized official Derocher, Erick Charles Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 25th, 2008 - about 17 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 1316039688 NPPES
Oklahoma MEDICAID 200081510A

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