WILLIAMS MEDICAL GROUP PRACTICE LLC NPI 1639823404

NPI Information

NPI: 1639823404
Provider Name: WILLIAMS MEDICAL GROUP PRACTICE, LLC

Doing Business As: XPRESS WELLNESS URGENT CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1675 12TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 798-0234
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WILLIAMS MEDICAL GROUP PRACTICE, LLC is a rural health clinic center in Ardmore, OK. WILLIAMS MEDICAL GROUP PRACTICE, LLC NPI is 1639823404. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Xpress Wellness Urgent Care.

The provider's business location address is:

1675 12TH AVE NW
ARDMORE, OK
ZIP 73401-283
Phone: (580) 798-0234

The provider's authorized official is Grant Asay .
The authorized official title is Ceo and has the following contact phone number (405) 445-1210.

The CLIA number assigned to this NPI record is 37D2173905 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 1/23/2023.

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	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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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