ELEVATION HEALTH LLC NPI 1841077807

NPI Information

  • NPI: 1841077807
  • Provider Name: ELEVATION HEALTH LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 37D2309134
  • Address: 1745 W 33RD ST
    EDMOND, OK
    ZIP 73013
  • Phone: (406) 309-4780

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NPI Details

ELEVATION HEALTH LLC is a clinic center in Edmond, 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). ELEVATION HEALTH LLC NPI is 1841077807. The provider is registered as an organization entity type.

The provider's business location address is:

1745 W 33RD ST
EDMOND, OK
ZIP 73013-831
Phone: (406) 309-4780

The provider's authorized official is Charles Tate Woodward .
The authorized official title is Physician/owner and has the following contact phone number (406) 309-4780.

The CLIA number assigned to this NPI record is 37D2309134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 10/4/2024.

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
1251S00000XCommunity/Behavioral HealthNo
2261Q00000XClinic/CenterYes

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: 3/30/2025

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