Sooner Geriatrics, Llc

LBN: Sooner Geriatrics, Llc
Sooner Geriatrics, Llc is an health care organization with primary practice located at 1913 Ne 50Th St , Oklahoma City OK 73111-7003. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sooner Geriatrics, Llc can be contacted via phone (405) 427-5414, or through Deroin, Kristy via phone (405) 943-1144.

Contact Information

Primary practice address
1913 Ne 50Th St Oklahoma City OK 73111-7003
Phone: (405) 427-5414
Fax: (405) 427-5432
Website:
Map and Directions
Authorized official contact:
Name: Deroin, Kristy
Phone: (405) 943-1144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5501-5501 Oklahoma

Profile Details

NPI number 1164527727
LBN Legal business name Sooner Geriatrics, Llc
DBA Doing business as Sooner Geriatrics, Llc
Authorized official Deroin, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 5th, 2020 - about 4 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 1164527727 NPPES
Oklahoma MEDICAID 100778040A

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