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BRISTOW ENDEAVOR HEALTHCARE LLC NPI 1265863583


NPI Information

NPI: 1265863583
Provider Name: BRISTOW ENDEAVOR HEALTHCARE, LLC

Doing Business As: BRISTOW FAMILY PRACTICE, URGENT CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D2004499

Address:
519 N MAIN ST
BRISTOW, OK
ZIP 74010
Phone: (918) 367-6611
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BRISTOW ENDEAVOR HEALTHCARE, LLC is a family medicine in Bristow, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRISTOW ENDEAVOR HEALTHCARE, LLC NPI is 1265863583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bristow Family Practice, Urgent Care.

The provider's business location address is:

519 N MAIN ST
BRISTOW, OK
ZIP 74010-016
Phone: (918) 367-6611
Fax: (918) 367-9915

The provider's authorized official is Melinda Kay Whitaker .
The authorized official title is Credentialing Coordinator and has the following contact phone number (918) 701-2313.

The CLIA number assigned to this NPI record is 37D2004499 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 11/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyNo
2208600000XSurgeryNo
3207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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