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OGE FAMILY MEDICAL CLINIC NPI 1902864689


NPI Information

NPI: 1902864689
Provider Name: OGE FAMILY MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D1026223

Address:
410 N MAIN ST
SUITE 2
NASHVILLE, AR
ZIP 71852
Phone: (870) 451-9199
Get Directions

OGE FAMILY MEDICAL CLINIC is a family medicine in Nashville, AR. 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. OGE FAMILY MEDICAL CLINIC NPI is 1902864689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 N MAIN ST
SUITE 2
NASHVILLE, AR
ZIP 71852-006
Phone: (870) 451-9199
Fax: (870) 451-9442

The provider's authorized official is Brian T Oge .
The authorized official title is Owner and has the following contact phone number (870) 451-9199.

The CLIA number assigned to this NPI record is 04D1026223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineE3925ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F105OTHERARKANSASBCBS
2770304202OTHERARKANSASBREASTCARE
35F105MEDICARE PINARKANSAS
4154132002MEDICAIDARKANSAS

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: 11/14/2023

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