Surgery Center Of Lawton Professional Llc

LBN: Surgery Center Of Lawton Professional Llc
Surgery Center Of Lawton Professional Llc is an health care organization with primary practice located at 3617 W Gore Blvd Suite D, Lawton OK 73505-6373. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgery Center Of Lawton Professional Llc can be contacted via phone (580) 351-0500, or through Williams, Rita via phone (580) 351-0500.

Contact Information

Primary practice address
3617 W Gore Blvd Suite D Lawton OK 73505-6373
Fax: (580) 351-0500
Website:
Authorized official contact:
Name: Williams, Rita

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0030 Oklahoma

Profile Details

NPI number 1164478764
LBN Legal business name Surgery Center Of Lawton Professional Llc
DBA Doing business as
Authorized official Williams, Rita
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Mar 27th, 2012 - 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 1164478764 NPPES
Oklahoma MEDICAID 100745750 A

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