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ZENA AREA COMMUNITY CLINIC PLLC MARCIA MATTHEWS SOLE MEMBER NPI 1639689185


NPI Information

NPI: 1639689185
Provider Name: ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER

Doing Business As: ZENA AREA COMMUNITY CLINIC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
37940 US HWY 59 N
JAY, OK
ZIP 74346
Phone: (918) 964-6425
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ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER is a medical specialty clinic center in Jay, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER NPI is 1639689185. The provider is registered as an organization entity type.
The provider Is Doing Business As Zena Area Community Clinic.

The provider's business location address is:

37940 US HWY 59 N
JAY, OK
ZIP 74346-434
Phone: (918) 964-6425
Fax: (918) 786-2402

The provider's authorized official is Marcia Kay Matthews .
The authorized official title is Sole Member Of S Corporation In Ok and has the following contact phone number (918) 919-2272.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.


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
1261QU0200XClinic/CenterUrgent Care19451OKLAHOMANo
2261QM2500XClinic/CenterMedical Specialty19451OKLAHOMAYes

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
1100124760A21MEDICAIDOKLAHOMA

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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