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WILLIAMS MEDICAL GROUP PRACTICE LLC NPI 1528638376


NPI Information

NPI: 1528638376
Provider Name: WILLIAMS MEDICAL GROUP PRACTICE, LLC

Doing Business As: XPRESS WELLNESS URGENT CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 37D2173903

Address:
1201 S DIVISION ST
GUTHRIE, OK
ZIP 73044
Phone: (405) 293-4504
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WILLIAMS MEDICAL GROUP PRACTICE, LLC is a rural health clinic center in Guthrie, OK. WILLIAMS MEDICAL GROUP PRACTICE, LLC NPI is 1528638376. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Xpress Wellness Urgent Care.

The provider's business location address is:

1201 S DIVISION ST
GUTHRIE, OK
ZIP 73044-021
Phone: (405) 293-4504

The provider's authorized official is Grant Asay .
The authorized official title is Ceo and has the following contact phone number (405) 445-1210.

The CLIA number assigned to this NPI record is 37D2173903 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 2/24/2023.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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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