NPI 1003227414 DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC EDMOND OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Deer Creek Family Healthcare And Wellness Clinic Llc - NPI: 1003227414

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
NPI Number: 1003227414
Entity Type Code: Organizational (2)
Authorized Official Name: KIM KNOX
(NURSE PRACTITIONER / OWNER)
Mailing Address: 19401 N. Portland
Edmond
State: OK US
Postal Code: 73012
Phone Number: 4058128208
Fax Number:
NPI Enumeration Date: 05/20/2014
NPI Last Update Date: 06/27/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QP2300X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Primary Care
Taxonomy Definition:


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