GOOD SHEPHERD MINISTRIES NPI 1871916700

NPI Information

NPI: 1871916700
Provider Name: GOOD SHEPHERD MINISTRIES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2073696

Address:
222 NW 12TH STREET
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 232-8631
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GOOD SHEPHERD MINISTRIES is a primary care clinic center in Oklahoma City, OK. GOOD SHEPHERD MINISTRIES NPI is 1871916700. The provider is registered as an organization entity type.

The provider's business location address is:

222 NW 12TH STREET
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 232-8631
Fax: (405) 601-3734

The provider's authorized official is George Varghese .
The authorized official title is Operations Director and has the following contact phone number (405) 232-8631.

The CLIA number assigned to this NPI record is 37D2073696 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2014 and was last updated on 1/29/2014.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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