MUSKOGEE FAMILY CARE LLC NPI 1336354182

NPI Information

NPI: 1336354182
Provider Name: MUSKOGEE FAMILY CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1118 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 681-4646
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MUSKOGEE FAMILY CARE LLC is a family nurse practitioner in Muskogee, OK. MUSKOGEE FAMILY CARE LLC NPI is 1336354182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1118 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401-246
Phone: (918) 681-4646
Fax: (918) 684-9023

The provider's authorized official is Michael S. Smith .
The authorized official title is Owner and has the following contact phone number (918) 681-4646.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/21/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R0035256	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200074640A	MEDICAID	OKLAHOMA
2	P33569	MEDICARE UPIN	OKLAHOMA
3	500522152	MEDICARE PIN	OKLAHOMA

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

NPI Synchronization or Removal

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