Good Shepherd Community Clinic, Inc.

LBN: Good Shepherd Community Clinic, Inc.
Good Shepherd Community Clinic, Inc. is an health care organization with primary practice located at 1104 Walnut Dr W , Ardmore OK 73401. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Good Shepherd Community Clinic, Inc. can be contacted via phone (580) 226-0543, or through Myers, Teresa via phone (580) 223-3411.

Contact Information

Primary practice address
1104 Walnut Dr W Ardmore OK 73401
Phone: (580) 226-0543
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Myers, Teresa
Phone: (580) 223-3411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1316529803
LBN Legal business name Good Shepherd Community Clinic, Inc.
DBA Doing business as
Authorized official Myers, Teresa
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2021
Last updated Apr 23rd, 2021 - about 3 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 1316529803 NPPES
Oklahoma Other 12-8917 PHARMACY LICENSE

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