Warren Clinic Medicaid Group 100739490B

LBN: Warren Clinic Medicaid Group 100739490B
Warren Clinic Medicaid Group 100739490B is an health care organization with primary practice located at 6600 S Yale Ave Suite 1400, Tulsa OK 74136-3310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Warren Clinic Medicaid Group 100739490B can be contacted via phone (918) 488-6001, or through Duplissey, Cathey via phone (918) 488-6687.

Contact Information

Primary practice address
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310
Phone: (918) 488-6001
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duplissey, Cathey
Phone: (918) 488-6687

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1316105703
LBN Legal business name Warren Clinic Medicaid Group 100739490B
DBA Doing business as
Authorized official Duplissey, Cathey
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Dec 13th, 2018 - about 7 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 1316105703 NPPES
Oklahoma MEDICAID 100739490B

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