Idabel Children'S Clinic, Inc.

LBN: Idabel Children'S Clinic, Inc.
Idabel Children'S Clinic, Inc. is an health care organization with primary practice located at 1307 Lynn Ln , Idabel OK 74745-6845. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Idabel Children'S Clinic, Inc. can be contacted via phone (580) 286-5437, or through Leboeuf, Robert Dellino via phone (580) 212-2697.

Contact Information

Primary practice address
1307 Lynn Ln Idabel OK 74745-6845
Phone: (580) 286-5437
Fax: (580) 286-3955
Website:
Map and Directions
Authorized official contact:
Name: Leboeuf, Robert Dellino PH.D.
Phone: (580) 212-2697

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 22507 Oklahoma

Profile Details

NPI number 1689985343
LBN Legal business name Idabel Children'S Clinic, Inc.
DBA Doing business as
Authorized official Leboeuf, Robert Dellino PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2010
Last updated Jul 28th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689985343 NPPES
Oklahoma MEDICAID 100187600B

Popular Providers