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GILBRETH FAMILY MEDICINE PLLC NPI 1689843997


NPI Information

NPI: 1689843997
Provider Name: GILBRETH FAMILY MEDICINE, PLLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 37D1042697

Address:
2434 HARVILLE RD
SUITE 101
DUNCAN, OK
ZIP 73533
Phone: (580) 252-1918
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GILBRETH FAMILY MEDICINE, PLLC is a medical specialty clinic center in Duncan, 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). GILBRETH FAMILY MEDICINE, PLLC NPI is 1689843997. The provider is registered as an organization entity type.

The provider's business location address is:

2434 HARVILLE RD
SUITE 101
DUNCAN, OK
ZIP 73533
Phone: (580) 252-1918
Fax: (580) 252-2333

The provider's authorized official is Judith M Gilbreth .
The authorized official title is Owner/manager and has the following contact phone number (580) 252-1918.

The CLIA number assigned to this NPI record is 37D1042697 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 5/11/2023.


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
1261QM2500XClinic/CenterMedical Specialty19187OKLAHOMAYes

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
1100170200COTHEROKLAHOMAMEDICAID/SOONERCARE
2467450776003OTHEROKLAHOMABLUE CROSS BLUE SHIELD
3100170200DOTHEROKLAHOMAMEDICAID/SOONERCARE

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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