Wewoka Medical Rural Health Clinic

LBN: Glenn Crowson Md Inc
Wewoka Medical Rural Health Clinic is an health care organization with primary practice located at 1401 W 1St St , Wewoka OK 74884-5097. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Glenn Crowson Md Inc can be contacted via phone (405) 257-3396, or through Crowson, Glenn Alvin via phone (405) 257-3396.

Contact Information

Primary practice address
1401 W 1St St Wewoka OK 74884-5097
Phone: (405) 257-3396
Fax: (405) 257-6908
Website:
Map and Directions
Authorized official contact:
Name: Crowson, Glenn Alvin Doctor of Medicine (MD)
Phone: (405) 257-3396

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13854 Oklahoma
Ambulatory Health Care Facilities / Rural Health 261QR1300X 13854 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0073222 Oklahoma

Profile Details

NPI number 1033103452
LBN Legal business name Glenn Crowson Md Inc
DBA Doing business as Wewoka Medical Rural Health Clinic
Authorized official Crowson, Glenn Alvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 11th, 2015 - about 10 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 1033103452 NPPES
Oklahoma MEDICAID 100740370B
Oklahoma MEDICAID 100156370A
Oklahoma MEDICAID 200015980A
Oklahoma MEDICAID 100740370C

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