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MCKOWN CLINIC PLLC NPI 1649680604


NPI Information

NPI: 1649680604
Provider Name: MCKOWN CLINIC PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
804 16TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 226-7181
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MCKOWN CLINIC PLLC is a clinic center in Ardmore, 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). MCKOWN CLINIC PLLC NPI is 1649680604. The provider is registered as an organization entity type.

The provider's business location address is:

804 16TH AVE NW
ARDMORE, OK
ZIP 73401-818
Phone: (580) 226-7181
Fax: (580) 226-7192

The provider's authorized official is Alan R Mckown .
The authorized official title is Owner and has the following contact phone number (580) 226-7181.

The enumeration date for this NPI number is 4/30/2014 and was last updated on 4/30/2014.


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
1261Q00000XClinic/Center2618OKLAHOMAYes

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
1U31237MEDICARE UPINOKLAHOMA

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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