PROMPT CARE CLINIC LLC NPI 1962031369

NPI Information

NPI: 1962031369
Provider Name: PROMPT CARE CLINIC LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 37D2183474

Address:
4008 NW CACHE RD
LAWTON, OK
ZIP 73505
Phone: (580) 379-0200
Get Directions

PROMPT CARE CLINIC LLC is an addiction medicine family medicine in Lawton, OK. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PROMPT CARE CLINIC LLC NPI is 1962031369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4008 NW CACHE RD
LAWTON, OK
ZIP 73505-634
Phone: (580) 379-0200
Fax: (580) 699-8767

The provider's authorized official is Jeffery Charles Hickman .
The authorized official title is Manger and has the following contact phone number (580) 512-2780.

The CLIA number assigned to this NPI record is 37D2183474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 4/7/2020.

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	207QA0401X	Family Medicine	Addiction Medicine			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	1356390397	MEDICAID	OKLAHOMA
2	1598999757	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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