First Choice Wellness Center Llc

LBN: First Choice Wellness Center Llc
First Choice Wellness Center Llc is an health care organization with primary practice located at 9 N Main , Kingston OK 73439-7343. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. First Choice Wellness Center Llc can be contacted via phone (158) 056-4050, or through Gratz, Addie Beth via phone (580) 371-0500.

Contact Information

Primary practice address
9 N Main Kingston OK 73439-7343
Phone: (158) 056-4050
Fax: (580) 564-0500
Website:
Map and Directions
Authorized official contact:
Name: Gratz, Addie Beth ARNP
Phone: (580) 371-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7588 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X R0067529 Oklahoma

Profile Details

NPI number 1811187800
LBN Legal business name First Choice Wellness Center Llc
DBA Doing business as
Authorized official Gratz, Addie Beth ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Mar 17th, 2018 - about 6 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 1811187800 NPPES
Oklahoma MEDICAID 200117140A

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