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GREEN COUNTRY MEDICAL INC. NPI 1497978753


NPI Information

NPI: 1497978753
Provider Name: GREEN COUNTRY MEDICAL, INC.

Doing Business As: NOWATA COUNTY RURAL HEALTH CLINIC AND GREEN COUNTRY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
712 E OSAGE AVE
NOWATA, OK
ZIP 74048
Phone: (918) 273-0140
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GREEN COUNTRY MEDICAL, INC. is a family medicine in Nowata, 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. GREEN COUNTRY MEDICAL, INC. NPI is 1497978753. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nowata County Rural Health Clinic And Green Country Medical Clinic.

The provider's business location address is:

712 E OSAGE AVE
NOWATA, OK
ZIP 74048-638
Phone: (918) 273-0140

The provider's authorized official is Lacee Hayes .
The authorized official title is Billing and has the following contact phone number (918) 273-0140.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/16/2009.


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
1207Q00000XFamily MedicineYes

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
1100739790AOTHEROKLAHOMANOWATA AM X-OVERS
2100739790HMEDICAIDOKLAHOMA
3100739790BOTHEROKLAHOMASCV AM X-OVERS
4100739790GMEDICAIDOKLAHOMA
5373830MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMANOWATA RURAL HEALTH CLINI

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

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