JANE PHILLIPS MEMORIAL MEDICAL CENTER INC. NPI 1730223090

NPI Information

NPI: 1730223090
Provider Name: JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC.

Doing Business As: JANE PHILLIPS DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3500 STATE ST
BARTLESVILLE, OK
ZIP 74006
Phone: (918) 333-7200
Get Directions

JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Bartlesville, OK. JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. NPI is 1730223090. The provider is registered as an organization entity type.
The provider Is Doing Business As Jane Phillips Dialysis Center.

The provider's business location address is:

3500 STATE ST
BARTLESVILLE, OK
ZIP 74006-932
Phone: (918) 333-7200
Fax: (918) 331-1447

The provider's authorized official is Mike A. Moore .
The authorized official title is Cfo and has the following contact phone number (918) 331-1644.

The CLIA number assigned to this NPI record is 37D2239384 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 5/21/2008.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	2190	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	Other Provider Identifier Issuer
1	100699490 I	MEDICAID	OKLAHOMA
2	37-2322	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA	MEDICARE - DIALYSIS

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: 5/5/2024

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