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BLACKWELL HMPN LLC NPI 1457793093


NPI Information

NPI: 1457793093
Provider Name: BLACKWELL HMPN, LLC

Doing Business As: TONKAWA MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
600 E GRAND AVE
SUITE 1
TONKAWA, OK
ZIP 74653
Phone: (580) 628-2138
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BLACKWELL HMPN, LLC is a family medicine in Tonkawa, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLACKWELL HMPN, LLC NPI is 1457793093. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tonkawa Medical Group.

The provider's business location address is:

600 E GRAND AVE
SUITE 1
TONKAWA, OK
ZIP 74653-558
Phone: (580) 628-2138
Fax: (580) 628-2293

The provider's authorized official is Staci Lucius .
The authorized official title is President and has the following contact phone number (239) 552-3575.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 10/30/2013.


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
1207Q00000XFamily MedicineYes

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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