OKLAHOMA INTEGRATED CARE PLC NPI 1316540495

NPI Information

NPI: 1316540495
Provider Name: OKLAHOMA INTEGRATED CARE PLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1013 15TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 504-1517
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OKLAHOMA INTEGRATED CARE PLC is a multi-specialty clinic center in Ardmore, OK. OKLAHOMA INTEGRATED CARE PLC NPI is 1316540495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1013 15TH AVE NW
ARDMORE, OK
ZIP 73401-810
Phone: (580) 504-1517

The provider's authorized official is Tasha Preston .
The authorized official title is Nurse Practitioner and has the following contact phone number (580) 504-1517.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 1/25/2024.

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	Primary
1	101Y00000X	Counselor		No
2	163W00000X	Registered Nurse		No
3	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
4	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
5	261Q00000X	Clinic/Center		No
6	261QH0100X	Clinic/Center	Health Service	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
8	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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

NPI Synchronization or Removal

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