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FAMILY MEDICINE ASSOCIATES OF EDMOND LLC NPI 1093940454


NPI Information

NPI: 1093940454
Provider Name: FAMILY MEDICINE ASSOCIATES OF EDMOND LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
105 S BRYANT AVE STE 210
EDMOND, OK
ZIP 73034
Phone: (405) 359-5229
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FAMILY MEDICINE ASSOCIATES OF EDMOND LLC is a clinic center in Edmond, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FAMILY MEDICINE ASSOCIATES OF EDMOND LLC NPI is 1093940454. The provider is registered as an organization entity type.

The provider's business location address is:

105 S BRYANT AVE STE 210
EDMOND, OK
ZIP 73034-331
Phone: (405) 359-5229
Fax: (405) 359-5214

The provider's authorized official is Stephanie Jones .
The authorized official title is Director Of Patient Accounting and has the following contact phone number (405) 271-7099.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 7/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200249490AMEDICAIDOKLAHOMA

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

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