Genesis Medical Pllc

LBN: Genesis Medical Pllc
Genesis Medical Pllc is an health care organization with primary practice located at 2002 12Th Ave Nw Ste B , Ardmore OK 73401-1206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Genesis Medical Pllc can be contacted via phone (580) 221-2022, or through Clark, Sherry Lynne via phone (580) 223-5180.

Contact Information

Primary practice address
2002 12Th Ave Nw Ste B Ardmore OK 73401-1206
Phone: (580) 221-2022
Fax: (580) 221-2024
Website:
Map and Directions
Authorized official contact:
Name: Clark, Sherry Lynne
Phone: (580) 223-5180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1578174074
LBN Legal business name Genesis Medical Pllc
DBA Doing business as
Authorized official Clark, Sherry Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2020
Last updated Aug 10th, 2020 - about 5 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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