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WARREN CLINIC INC NPI 1790407419


NPI Information

NPI: 1790407419
Provider Name: WARREN CLINIC INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2269942

Address:
1866 E 15TH ST
TULSA, OK
ZIP 74104
Phone: (918) 884-2884
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WARREN CLINIC INC is a primary care clinic center in Tulsa, OK. WARREN CLINIC INC NPI is 1790407419. The provider is registered as an organization entity type.

The provider's business location address is:

1866 E 15TH ST
TULSA, OK
ZIP 74104-611
Phone: (918) 884-2884
Fax: (918) 884-2885

The provider's authorized official is Collin Henry .
The authorized official title is Sr Vp, President Warren Clinic and has the following contact phone number (918) 494-8394.

The CLIA number assigned to this NPI record is 37D2269942 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2022 and was last updated on 9/19/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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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