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MEDCOLOGY LLC NPI 1922189729


NPI Information

NPI: 1922189729
Provider Name: MEDCOLOGY LLC

Doing Business As: BOULEVARD FAMILY PRACTICE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3431 S BOULEVARD ST
SUITE 109
EDMOND, OK
ZIP 73013
Phone: (405) 562-1870
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MEDCOLOGY LLC is a health service clinic center in Edmond, OK. MEDCOLOGY LLC NPI is 1922189729. The provider is registered as an organization entity type.
The provider Is Doing Business As Boulevard Family Practice.

The provider's business location address is:

3431 S BOULEVARD ST
SUITE 109
EDMOND, OK
ZIP 73013-475
Phone: (405) 562-1870
Fax: (405) 562-1871

The provider's authorized official is T Denise Cato .
The authorized official title is Owner Administrator and has the following contact phone number (405) 470-1884.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/14/2011.


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
1261QH0100XClinic/CenterHealth ServiceYes

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

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