THE SPECIALTY CARE CLINIC NPI 1518547702

NPI Information

NPI: 1518547702
Provider Name: THE SPECIALTY CARE CLINIC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
4127 NW 122ND ST STE E
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 276-8076
Get Directions

THE SPECIALTY CARE CLINIC is a general practice registered nurse in Oklahoma City, OK. THE SPECIALTY CARE CLINIC NPI is 1518547702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4127 NW 122ND ST STE E
OKLAHOMA CITY, OK
ZIP 73120-880
Phone: (405) 276-8076
Fax: (405) 276-8077

The provider's authorized official is Jami Reed .
The authorized official title is Ceo and has the following contact phone number (405) 276-8076.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 4/15/2021.

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	Primary
1	163WG0000X	Registered Nurse	General Practice	Yes
2	164W00000X	Licensed Practical Nurse		No
3	207QA0505X	Family Medicine	Adult Medicine	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	No

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	Other Provider Identifier Issuer
1	1255358891	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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