Serenity Wellness Llc

LBN: Serenity Wellness Llc
Serenity Wellness Llc is an health care organization with primary practice located at 3750 W Main St Ste Aa , Norman OK 73072-4645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Serenity Wellness Llc can be contacted via phone (405) 790-0500, or through Quiambao, Benjamin via phone (405) 790-0500.

Contact Information

Primary practice address
3750 W Main St Ste Aa Norman OK 73072-4645
Fax: (405) 790-0501
Website:
Authorized official contact:
Name: Quiambao, Benjamin Doctor of Medicine (MD)

Profile Details

NPI number 1598096794
LBN Legal business name Serenity Wellness Llc
DBA Doing business as
Authorized official Quiambao, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2010
Last updated Jan 9th, 2024 - about 10 months 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 1598096794 NPPES
Oklahoma MEDICAID 200518650A
Oklahoma MEDICAID 200693480A
Oklahoma MEDICAID 100125890A
Oklahoma MEDICAID 200238960A
Oklahoma MEDICAID 200271930A

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