Osu-Aj Madill Family Medicine Clinic

LBN: Osu Center For Health Sciences
Osu-Aj Madill Family Medicine Clinic is an health care organization with primary practice located at 207 E Taliaferro St , Madill OK 73446-3410. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Osu Center For Health Sciences can be contacted via phone (918) 561-8306, or through Polak, Eric via phone (918) 561-8422.

Contact Information

Primary practice address
207 E Taliaferro St Madill OK 73446-3410
Phone: (918) 561-8306
Fax: (918) 561-5747
Website:
Map and Directions
Authorized official contact:
Name: Polak, Eric
Phone: (918) 561-8422

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1700950672
LBN Legal business name Osu Center For Health Sciences
DBA Doing business as Osu-Aj Madill Family Medicine Clinic
Authorized official Polak, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Mar 24th, 2016 - about 8 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 1700950672 NPPES
Oklahoma MEDICAID 200069200I

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