Medical Center Of Se Oklahoma

LBN: Medical Center Of Southeast Oklahoma
Medical Center Of Se Oklahoma is an health care organization with primary practice located at 1800 W University Blvd , Durant OK 74701-3006. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Medical Center Of Southeast Oklahoma can be contacted via phone (580) 924-3080, or through Harms, John via phone (580) 924-3080.

Contact Information

Primary practice address
1800 W University Blvd Durant OK 74701-3006
Phone: (580) 924-3080
Fax: (580) 920-0119
Website:
Map and Directions
Authorized official contact:
Name: Harms, John
Phone: (580) 924-3080

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 274441 Oklahoma

Profile Details

NPI number 1083650600
LBN Legal business name Medical Center Of Southeast Oklahoma
DBA Doing business as Medical Center Of Se Oklahoma
Authorized official Harms, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083650600 NPPES
Other 3720249 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100696610B NCPDP PROVIDER IDENTIFICATION NUMBER

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