Five Oaks Family Medical Clinic
LBN: Grady Memorial Hospital
Five Oaks Family Medical Clinic is an health care organization with primary practice located at 2100 W Iowa Ave Suite A, Chickasha OK 73018-2736. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Grady Memorial Hospital can be contacted via phone (405) 224-2100, or through Spellman, Warren Kean via phone (405) 779-2150.
Contact Information
Primary practice address
2100 W Iowa Ave Suite A
Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Oklahoma | |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | Oklahoma | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Oklahoma |
Profile Details
| NPI number | 1164859260 |
|---|---|
| LBN Legal business name | Grady Memorial Hospital |
| DBA Doing business as | Five Oaks Family Medical Clinic |
| Authorized official | Spellman, Warren Kean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2013 |
| Last updated | Sep 5th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164859260 | NPPES |
| Oklahoma | MEDICAID | 100700820 K |
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