CHECOTAH MEDICAL CENTER P.C. NPI 1609320092

NPI Information

NPI: 1609320092
Provider Name: CHECOTAH MEDICAL CENTER, P.C.

Other Name: IRONHEAD MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
915 W GENTRY AVE
CHECOTAH, OK
ZIP 74426
Phone: (918) 617-9000
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CHECOTAH MEDICAL CENTER, P.C. is a primary care clinic center in Checotah, OK. CHECOTAH MEDICAL CENTER, P.C. NPI is 1609320092. The provider is registered as an organization entity type.
The provider Other Name Is Ironhead Medical Clinic.

The provider's business location address is:

915 W GENTRY AVE
CHECOTAH, OK
ZIP 74426-026
Phone: (918) 617-9000

The provider's authorized official is Eric Timothy Hogan .
The authorized official title is President and has the following contact phone number (918) 617-9000.

The enumeration date for this NPI number is 8/15/2016 and was last updated on 8/15/2016.

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	261QP2300X	Clinic/Center	Primary Care			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

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