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GP SURGERY CENTER LLC NPI 1477551745


NPI Information

NPI: 1477551745
Provider Name: GP SURGERY CENTER, LLC

Doing Business As: GREAT PLAINS AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5404 SOUTHWEST LEE BOULEVARD
SUITE 100
LAWTON, OK
ZIP 73505
Phone: (580) 536-7533
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GP SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lawton, OK. GP SURGERY CENTER, LLC NPI is 1477551745. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Plains Ambulatory Surgery Center.

The provider's business location address is:

5404 SOUTHWEST LEE BOULEVARD
SUITE 100
LAWTON, OK
ZIP 73505-521
Phone: (580) 536-7533
Fax: (580) 536-7535

The provider's authorized official is Katherine L. Reed .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3859.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 11/19/2009.


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
1261QA1903XClinic/CenterAmbulatory Surgical0027OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000371019001OTHERBLUE CROSS
2000371019001OTHEROKLAHOMABLUE CROSS PROVIDER NUMBE
3490005778OTHEROKLAHOMARAILROAD MEDICARE
4800522240MEDICARE PIN
5200008100AMEDICAIDOKLAHOMA
637C0001019MEDICARE OSCAR/CERTIFICATION

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

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