Osu Medical Group Sand Springs Primary Care

LBN: Osumc Professional Services Llc
Osu Medical Group Sand Springs Primary Care is an health care organization with primary practice located at 514 Plaza Ct , Sand Springs OK 74063-7915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Osumc Professional Services Llc can be contacted via phone (918) 215-5100, or through Overfield, Samantha via phone (918) 561-5714.

Contact Information

Primary practice address
514 Plaza Ct Sand Springs OK 74063-7915
Fax: (918) 215-5105
Website:
Authorized official contact:
Name: Overfield, Samantha

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5451 Oklahoma

Profile Details

NPI number 1154845501
LBN Legal business name Osumc Professional Services Llc
DBA Doing business as Osu Medical Group Sand Springs Primary Care
Authorized official Overfield, Samantha
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2017
Last updated Jul 21st, 2022 - about 3 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 1154845501 NPPES
Oklahoma MEDICAID 200308130A
Oklahoma Other OKA101159
Oklahoma Other DR7481

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