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MARANATHA FAMILY COMPANY LLC NPI 1609584978


NPI Information

NPI: 1609584978
Provider Name: MARANATHA FAMILY COMPANY LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 37D2272867

Address:
341 S 28TH ST
CLINTON, OK
ZIP 73601
Phone: (580) 323-8747
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MARANATHA FAMILY COMPANY LLC is a pediatrics in Clinton, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARANATHA FAMILY COMPANY LLC NPI is 1609584978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

341 S 28TH ST
CLINTON, OK
ZIP 73601-701
Phone: (580) 323-8747

The provider's authorized official is Ejeehi Umobuarie .
The authorized official title is Member and has the following contact phone number (908) 887-2724.

The CLIA number assigned to this NPI record is 37D2272867 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2022 and was last updated on 11/7/2022.


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
1208000000XPediatricsYes

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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