NPI 1548646052 NEXT GENERATION FAMILY MEDICAL CLINIC, LLC WAGONER OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Next Generation Family Medical Clinic, Llc - NPI: 1548646052

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: NEXT GENERATION FAMILY MEDICAL CLINIC, LLC
NPI Number: 1548646052
Entity Type Code: Organizational (2)
Authorized Official Name: MICHELE BUCHOLTZ
(PRESIDENT)
Mailing Address: 1102 W Cherokee St Ste A
Wagoner
State: OK US
Postal Code: 744674600
Phone Number: 9182014502
Fax Number: 9182014503
NPI Enumeration Date: 08/06/2015
NPI Last Update Date: 02/22/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 4383
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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