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CHANDLER OUTREACH MEDICAL CENTER NPI 1568407476


NPI Information

NPI: 1568407476
Provider Name: CHANDLER OUTREACH MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1406 MANVEL AVE
STE C
CHANDLER, OK
ZIP 74834
Phone: (405) 258-5252
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CHANDLER OUTREACH MEDICAL CENTER is a family medicine in Chandler, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHANDLER OUTREACH MEDICAL CENTER NPI is 1568407476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1406 MANVEL AVE
STE C
CHANDLER, OK
ZIP 74834-438
Phone: (405) 258-5252
Fax: (405) 258-5552

The provider's authorized official is Kristin Sells .
The authorized official title is Director and has the following contact phone number (405) 258-5252.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes

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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