Stathealth Clinic

LBN: Stathealth Clinic Pllc
Stathealth Clinic is an health care organization with primary practice located at 805 Se Washington St , Idabel OK 74745-3331. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Stathealth Clinic Pllc can be contacted via phone (580) 286-1095, or through Seymour, Kerri Lea via phone (580) 286-1095.

Contact Information

Primary practice address
805 Se Washington St Idabel OK 74745-3331
Phone: (580) 286-1095
Fax: (580) 286-3122
Website:
Map and Directions
Authorized official contact:
Name: Seymour, Kerri Lea APRN-CNP
Phone: (580) 286-1095

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1912298845
LBN Legal business name Stathealth Clinic Pllc
DBA Doing business as Stathealth Clinic
Authorized official Seymour, Kerri Lea APRN-CNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2011
Last updated Jan 30th, 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 1912298845 NPPES
Oklahoma MEDICAID 200344450A

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