Family Medicine Associates

LBN: Family Care Of Broken Arrow, Inc.
Family Medicine Associates is an health care organization with primary practice located at 3100 S. Elm Pl. Suite A, Broken Arrow OK 74012-7910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Care Of Broken Arrow, Inc. can be contacted via phone (918) 455-7777, or through Jeske, Leroy O. via phone (918) 455-7777.

Contact Information

Primary practice address
3100 S. Elm Pl. Suite A Broken Arrow OK 74012-7910
Phone: (918) 455-7777
Fax: (918) 455-8105
Website:
Map and Directions
Authorized official contact:
Name: Jeske, Leroy O. Doctor of Osteopathy (DO)
Phone: (918) 455-7777

Health care specialties

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

Profile Details

NPI number 1053431452
LBN Legal business name Family Care Of Broken Arrow, Inc.
DBA Doing business as Family Medicine Associates
Authorized official Jeske, Leroy O. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Apr 20th, 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 1053431452 NPPES
Oklahoma Other 0749960001 PTAN/DMERC
Oklahoma Other CS2603 PTAN/DMERC

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