GENERAL PRACTICE MEDICAL CLINIC INC. NPI 1740330596

NPI Information

NPI: 1740330596
Provider Name: GENERAL PRACTICE MEDICAL CLINIC, INC.

Doing Business As: SLEEP TECHNOLOGY OF ORS

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
1012 SOUTH PLAZA
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 207-1400
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GENERAL PRACTICE MEDICAL CLINIC, INC. is a sleep disorder diagnostic clinic center in Tahlequah, OK. GENERAL PRACTICE MEDICAL CLINIC, INC. NPI is 1740330596. The provider is registered as an organization entity type.
The provider Is Doing Business As Sleep Technology Of Ors.

The provider's business location address is:

1012 SOUTH PLAZA
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 207-1400
Fax: (918) 207-1401

The provider's authorized official is Bobby Neal Daniel .
The authorized official title is Owner and has the following contact phone number (918) 207-1400.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 9/26/2008.

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	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	OK1843	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	=========	OTHER	OKLAHOMA	FEIN
2	D38567	MEDICARE UPIN	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: 5/5/2024

NPI Synchronization or Removal

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