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PRIME HEALTH ASSOCIATES PLLC NPI 1093312548


NPI Information

NPI: 1093312548
Provider Name: PRIME HEALTH ASSOCIATES, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2511 ALEXA AVE
EDMOND, OK
ZIP 73034
Phone: (405) 822-0130
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PRIME HEALTH ASSOCIATES, PLLC is a family medicine in Edmond, OK. 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. PRIME HEALTH ASSOCIATES, PLLC NPI is 1093312548. The provider is registered as an organization entity type.

The provider's business location address is:

2511 ALEXA AVE
EDMOND, OK
ZIP 73034-458
Phone: (405) 822-0130

The provider's authorized official is Kevin White .
The authorized official title is Md/owner and has the following contact phone number (405) 822-0130.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/7/2020.


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
1261QM2500XClinic/CenterMedical SpecialtyNo
2261QP2300XClinic/CenterPrimary CareNo
3261Q00000XClinic/CenterNo
4261QH0100XClinic/CenterHealth ServiceNo
5261QI0500XClinic/CenterInfusion TherapyNo
6207Q00000XFamily MedicineYes

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
11689696858MEDICAIDOKLAHOMA

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

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