CAH ACQUISITION COMPANY 9 LLC NPI 1982934261

NPI Information

NPI: 1982934261
Provider Name: CAH ACQUISITION COMPANY 9 LLC

Doing Business As: VICI COMMUNITY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
104 W. BROADWAY
VICI, OK
ZIP 73859
Phone: (580) 995-3004
Get Directions

CAH ACQUISITION COMPANY 9 LLC is a rural health clinic center in Vici, OK. CAH ACQUISITION COMPANY 9 LLC NPI is 1982934261. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vici Community Clinic.

The provider's business location address is:

104 W. BROADWAY
VICI, OK
ZIP 73859-900
Phone: (580) 995-3004
Fax: (580) 922-3006

The provider's authorized official is Timothy R Parker .
The authorized official title is Ceo and has the following contact phone number (580) 922-7361.

The enumeration date for this NPI number is 1/8/2010 and was last updated on 11/5/2013.

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	207Q00000X	Family Medicine		2256	OKLAHOMA	No
2	261QR1300X	Clinic/Center	Rural Health	2256	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200287200C	MEDICAID	OKLAHOMA
2	373469	MEDICARE OSCAR/CERTIFICATION	OKLAHOMA

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

NPI Synchronization or Removal

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