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IRVIN MEDICAL CLINIC NPI 1215320320


NPI Information

NPI: 1215320320
Provider Name: IRVIN MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D1078745

Address:
1001 E JACKSON ST
HUGO, OK
ZIP 74743
Phone: (580) 317-9000
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IRVIN MEDICAL CLINIC is a primary care clinic center in Hugo, OK. IRVIN MEDICAL CLINIC NPI is 1215320320. The provider is registered as an organization entity type.

The provider's business location address is:

1001 E JACKSON ST
HUGO, OK
ZIP 74743-225
Phone: (580) 317-9000

The provider's authorized official is Michael Irvin .
The authorized official title is Owner and has the following contact phone number (580) 317-9000.

The CLIA number assigned to this NPI record is 37D1078745 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2015 and was last updated on 3/17/2015.


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
1261QP2300XClinic/CenterPrimary Care83065OKLAHOMAYes

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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