GENTLE CARE MEDICAL CLINIC NPI 1407552516

NPI Information

NPI: 1407552516
Provider Name: GENTLE CARE MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2065699

Address:
2526 W EDISON ST
TULSA, OK
ZIP 74127
Phone: (918) 764-9220
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GENTLE CARE MEDICAL CLINIC is a primary care clinic center in Tulsa, OK. GENTLE CARE MEDICAL CLINIC NPI is 1407552516. The provider is registered as an organization entity type.

The provider's business location address is:

2526 W EDISON ST
TULSA, OK
ZIP 74127-128
Phone: (918) 764-9220

The provider's authorized official is Laketa Smith-halpine .
The authorized official title is Physician and has the following contact phone number (918) 764-9220.

The CLIA number assigned to this NPI record is 37D2065699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2023 and was last updated on 2/1/2023.

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	261QP2300X	Clinic/Center	Primary Care			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	200401150B	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: 5/5/2024

NPI Synchronization or Removal

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