Phoenix Physician Services Inc

LBN: Phoenix Physician Services Inc
Phoenix Physician Services Inc is an health care organization with primary practice located at 4300 W Memorial Rd Er Dept., Oklahoma City OK 73120-8304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Phoenix Physician Services Inc can be contacted via phone (405) 752-3733, or through Orcutt, Paul Dean via phone (405) 751-4664.

Contact Information

Primary practice address
4300 W Memorial Rd Er Dept. Oklahoma City OK 73120-8304
Phone: (405) 752-3733
Fax: (405) 749-4561
Website:
Map and Directions
Authorized official contact:
Name: Orcutt, Paul Dean Doctor of Medicine (MD)
Phone: (405) 751-4664

Health care specialties

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

Profile Details

NPI number 1902866288
LBN Legal business name Phoenix Physician Services Inc
DBA Doing business as
Authorized official Orcutt, Paul Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 12th, 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 1902866288 NPPES
Oklahoma MEDICAID 100742040A
Oklahoma Other 175187000

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