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SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES LLC NPI 1255344206


NPI Information

NPI: 1255344206
Provider Name: SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5602 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 531-4700
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SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC is a primary care clinic center in Lawton, OK. SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC NPI is 1255344206. The provider is registered as an organization entity type.

The provider's business location address is:

5602 SW LEE BLVD
LAWTON, OK
ZIP 73505-635
Phone: (580) 531-4700
Fax: (580) 531-4889

The provider's authorized official is George Kruger .
The authorized official title is Chief Financial Officer and has the following contact phone number (580) 531-4701.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care2231OKLAHOMAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.