Jane Phillips Medcare Ambulatory Pharmacy

LBN: Jane Phillips Memorial Medical Center Inc
Jane Phillips Medcare Ambulatory Pharmacy is an health care organization with primary practice located at 3500 E Frank Phillips Blvd , Bartlesville OK 74006-2411. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jane Phillips Memorial Medical Center Inc can be contacted via phone (918) 331-1540, or through Moore, Mike via phone (918) 331-1550.

Contact Information

Primary practice address
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411
Phone: (918) 331-1540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Mike Doctor of Public Health (DPH)
Phone: (918) 331-1550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 96964 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1326443565
LBN Legal business name Jane Phillips Memorial Medical Center Inc
DBA Doing business as Jane Phillips Medcare Ambulatory Pharmacy
Authorized official Moore, Mike Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2014
Last updated Dec 28th, 2016 - about 9 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 1326443565 NPPES
Oklahoma MEDICAID 100699490 L
Oklahoma MEDICAID 100699490 B DME
Oklahoma Other 2148573

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