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GUTHRIE CLINIC INC. NPI 1649479627


NPI Information

NPI: 1649479627
Provider Name: GUTHRIE CLINIC, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 37D2067722

Address:
2000 E BROADWAY ST
SPIRO, OK
ZIP 74959
Phone: (918) 962-2439
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GUTHRIE CLINIC, INC. is a family nurse practitioner in Spiro, OK. GUTHRIE CLINIC, INC. NPI is 1649479627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 E BROADWAY ST
SPIRO, OK
ZIP 74959-041
Phone: (918) 962-2439
Fax: (918) 967-8847

The provider's authorized official is J Brett Guthrie .
The authorized official title is Physician and has the following contact phone number (918) 967-4697.

The CLIA number assigned to this NPI record is 37D2067722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 1/14/2014.


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
1111N00000XChiropractor2510OKLAHOMANo
2363LF0000XNurse PractitionerFamilyR0100325OKLAHOMAYes

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
1400522271OTHEROKLAHOMAMEDICARE GROUP NUMBER

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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