WOOD FAMILY MEDICINE P.C. NPI 1740371558

NPI Information

NPI: 1740371558
Provider Name: WOOD FAMILY MEDICINE, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
409 E REDWOOD AVE
SALLISAW, OK
ZIP 74955
Phone: (918) 775-3857
Get Directions

WOOD FAMILY MEDICINE, P.C. is a primary care clinic center in Sallisaw, OK. WOOD FAMILY MEDICINE, P.C. NPI is 1740371558. The provider is registered as an organization entity type.

The provider's business location address is:

409 E REDWOOD AVE
SALLISAW, OK
ZIP 74955-018
Phone: (918) 775-3857
Fax: (918) 775-0587

The provider's authorized official is William E Wood .
The authorized official title is Physician and has the following contact phone number (918) 775-3857.

The enumeration date for this NPI number is 9/27/2006 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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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	248311603	OTHER	OKLAHOMA	OK BC/BS GROUP NUMBER
2	200004670A	MEDICAID	OKLAHOMA
3	=========	OTHER	OKLAHOMA	TAX ID

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

NPI Synchronization or Removal

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