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GREEN COUNTRY MEDICAL INC NPI 1609998194


NPI Information

NPI: 1609998194
Provider Name: GREEN COUNTRY MEDICAL, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D0473285

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 1609998194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

712 E OSAGE AVE
NOWATA, OK
ZIP 74048-638
Phone: (918) 273-0140
Fax: (918) 273-0147

The provider's authorized official is Sheryl Neely .
The authorized official title is Rn and has the following contact phone number (918) 273-0140.

The CLIA number assigned to this NPI record is 37D0473285 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/4/2007 and was last updated on 6/21/2018.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHEROKLAHOMACORPORATION

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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