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CLEVELAND AREA HOSPITAL AUTHORITY NPI 1174774855


NPI Information

NPI: 1174774855
Provider Name: CLEVELAND AREA HOSPITAL AUTHORITY

Doing Business As: LAKE AREA MEDICAL ASSOCIATES

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 37D1065335

Address:
1400 W PAWNEE ST
CLEVELAND, OK
ZIP 74020
Phone: (918) 358-3588
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CLEVELAND AREA HOSPITAL AUTHORITY is a general practice in Cleveland, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CLEVELAND AREA HOSPITAL AUTHORITY NPI is 1174774855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Area Medical Associates.

The provider's business location address is:

1400 W PAWNEE ST
CLEVELAND, OK
ZIP 74020-020
Phone: (918) 358-3588

The provider's authorized official is Sabrina Aldridge .
The authorized official title is Clinic Manager and has the following contact phone number (918) 358-3588.

The CLIA number assigned to this NPI record is 37D1065335 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 9/27/2020.


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
1208D00000XGeneral PracticeYes

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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