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BEAVER COUNTY MEMORIAL HOSPITAL NPI 1487631156


NPI Information

NPI: 1487631156
Provider Name: BEAVER COUNTY MEMORIAL HOSPITAL

Doing Business As: COMMUNITY CLINIC OF BEAVER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
718 AVE. A
BEAVER, OK
ZIP 73932
Phone: (580) 625-3477
Get Directions

BEAVER COUNTY MEMORIAL HOSPITAL is a clinic center in Beaver, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BEAVER COUNTY MEMORIAL HOSPITAL NPI is 1487631156. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Clinic Of Beaver.

The provider's business location address is:

718 AVE. A
BEAVER, OK
ZIP 73932-101
Phone: (580) 625-3477
Fax: (580) 625-3562

The provider's authorized official is Brent Meyers .
The authorized official title is Administrator and has the following contact phone number (580) 625-4551.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 4/15/2010.


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
1261Q00000XClinic/Center2242OKLAHOMAYes

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
1B37008201MEDICARE PINOKLAHOMA
2243603803MEDICARE PINOKLAHOMA
3100700760FMEDICAIDOKLAHOMA
4373402MEDICARE OSCAR/CERTIFICATIONOKLAHOMA
5100700760HMEDICAIDOKLAHOMA
624M713606MEDICARE PINOKLAHOMA

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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