Memorial Medical Group Emergency Physicians Llc

LBN: Memorial Medical Group Emergency Physicians Llc
Memorial Medical Group Emergency Physicians Llc is an health care organization with primary practice located at 1011 14Th Ave Nw , Ardmore OK 73401-1828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Memorial Medical Group Emergency Physicians Llc can be contacted via phone (580) 223-5400, or through Enloe, Tracy via phone (405) 752-3161.

Contact Information

Primary practice address
1011 14Th Ave Nw Ardmore OK 73401-1828
Phone: (580) 223-5400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Enloe, Tracy
Phone: (405) 752-3161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1346449766
LBN Legal business name Memorial Medical Group Emergency Physicians Llc
DBA Doing business as
Authorized official Enloe, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Oct 16th, 2018 - about 6 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 1346449766 NPPES
Oklahoma MEDICAID 200015840A

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