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PURCELL FAMILY PRACTICE INC NPI 1750500419


NPI Information

NPI: 1750500419
Provider Name: PURCELL FAMILY PRACTICE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1401 N 4TH ST
STE 201
PURCELL, OK
ZIP 73080
Phone: (405) 527-5400
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PURCELL FAMILY PRACTICE INC is a family medicine in Purcell, 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. PURCELL FAMILY PRACTICE INC NPI is 1750500419. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 N 4TH ST
STE 201
PURCELL, OK
ZIP 73080-806
Phone: (405) 527-5400
Fax: (405) 527-7332

The provider's authorized official is David Bryan Dye .
The authorized official title is Owner Operator Physician and has the following contact phone number (405) 527-5400.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 6/22/2010.


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 Medicine16529OKLAHOMAYes

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
1900522587MEDICARE PINOKLAHOMA
2893340003001OTHEROKLAHOMABCBS OF OK
3DN7963OTHEROKLAHOMARAILROAD MEDICARE
4200195930AMEDICAIDOKLAHOMA

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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