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VIP ENDOSCOPY INC NPI 1558471490


NPI Information

NPI: 1558471490
Provider Name: VIP ENDOSCOPY INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1615 S EUCALYPTUS AVE
SUITE 101
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 294-8477
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VIP ENDOSCOPY INC is a clinic center in Broken Arrow, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VIP ENDOSCOPY INC NPI is 1558471490. The provider is registered as an organization entity type.

The provider's business location address is:

1615 S EUCALYPTUS AVE
SUITE 101
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 294-8477
Fax: (918) 294-3003

The provider's authorized official is Sarah Bell Von Muller .
The authorized official title is Medical Director and has the following contact phone number (918) 294-8477.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/11/2007.


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
1261Q00000XClinic/Center0072OKLAHOMAYes

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
1P00247719MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMARR
23104093OTHEROKLAHOMAAETNA

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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