MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC. NPI 1376757401

NPI Information

NPI: 1376757401
Provider Name: MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.

Other Name: MCCURTAIN MEMORIAL HOSPITAL RADIOLOGY PHY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1301 E LINCOLN ROAD
IDABEL, OK
ZIP 74745
Phone: (580) 208-3100
Get Directions

MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. is a diagnostic radiology radiology in Idabel, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. NPI is 1376757401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mccurtain Memorial Hospital Radiology Phy.

The provider's business location address is:

1301 E LINCOLN ROAD
IDABEL, OK
ZIP 74745-300
Phone: (580) 208-3100
Fax: (580) 208-3199

The provider's authorized official is Ray B Whitmore .
The authorized official title is Cfo and has the following contact phone number (580) 208-3104.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/16/2008.

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	2085U0001X	Radiology	Diagnostic Ultrasound			No
2	2085R0202X	Radiology	Diagnostic Radiology			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	M37004801	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA	MEDICARE PART B
2	100700920B	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: 4/28/2024

NPI Synchronization or Removal

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