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SHARROCK MEDICAL LLC NPI 1740921014


NPI Information

NPI: 1740921014
Provider Name: SHARROCK MEDICAL LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D2260135

Address:
1401 S LYNN LN
IDABEL, OK
ZIP 74745
Phone: (870) 279-3300
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SHARROCK MEDICAL LLC is a family medicine in Idabel, 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. SHARROCK MEDICAL LLC NPI is 1740921014. The provider is registered as an organization entity type.

The provider's business location address is:

1401 S LYNN LN
IDABEL, OK
ZIP 74745-859
Phone: (870) 279-3300

The provider's authorized official is Hollie Elizabeth Sharrock .
The authorized official title is Owner and has the following contact phone number (580) 245-7044.

The CLIA number assigned to this NPI record is 37D2260135 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2022 and was last updated on 9/6/2022.


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
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily 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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