Ponca City Open Mri, Llc

LBN: Ponca City Open Mri, Llc
Ponca City Open Mri, Llc is an health care organization with primary practice located at 2112 N 14Th St , Ponca City OK 74601-1829. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Ponca City Open Mri, Llc can be contacted via phone (580) 762-6740, or through Locke, Clinton via phone (580) 762-6740.

Contact Information

Primary practice address
2112 N 14Th St Ponca City OK 74601-1829
Phone: (580) 762-6740
Fax: (580) 762-9627
Website:
Map and Directions
Authorized official contact:
Name: Locke, Clinton
Phone: (580) 762-6740

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1912983719
LBN Legal business name Ponca City Open Mri, Llc
DBA Doing business as
Authorized official Locke, Clinton
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Feb 1st, 2011 - about 13 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 1912983719 NPPES
Kansas MEDICAID 7187533301
Kansas MEDICAID 100836750A

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