TISHOMINGO DOCTOR'S MEDICAL CLINIC PC NPI 1508096447

NPI Information

NPI: 1508096447
Provider Name: TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
508 E 24TH ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 371-9117
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TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC is a rural health clinic center in Tishomingo, OK. TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC NPI is 1508096447. The provider is registered as an organization entity type.

The provider's business location address is:

508 E 24TH ST
TISHOMINGO, OK
ZIP 73460-214
Phone: (580) 371-9117
Fax: (580) 371-3170

The provider's authorized official is Virginia Ragan .
The authorized official title is Director Of Operations and has the following contact phone number (580) 371-9117.

The enumeration date for this NPI number is 7/24/2009 and was last updated on 11/20/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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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