Provider Type Icon

PREMISE HEALTH OF OKLAHOMA MEDICAL P.C NPI 1093379331


NPI Information

NPI: 1093379331
Provider Name: PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C

Doing Business As: DOT ARDMORE FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
404 S COMMERCE ST
ARDMORE, OK
ZIP 73401
Phone: (580) 490-9414
Get Directions

PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C is a primary care clinic center in Ardmore, OK. PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C NPI is 1093379331. The provider is registered as an organization entity type.
The provider Is Doing Business As Dot Ardmore Family Health Center.

The provider's business location address is:

404 S COMMERCE ST
ARDMORE, OK
ZIP 73401-010
Phone: (580) 490-9414
Fax: (580) 490-9067

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 9/20/2023.


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
1261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.