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AHS OKLAHOMA PHYSICIAN GROUPLLC NPI 1922683051


NPI Information

NPI: 1922683051
Provider Name: AHS OKLAHOMA PHYSICIAN GROUP,LLC

Doing Business As: CUSHING MEDICAL SPECIALIST

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 37D0989460

Address:
1025 E 2ND ST
CUSHING, OK
ZIP 74023
Phone: (918) 225-3627
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AHS OKLAHOMA PHYSICIAN GROUP,LLC is a rural health clinic center in Cushing, OK. AHS OKLAHOMA PHYSICIAN GROUP,LLC NPI is 1922683051. The provider is registered as an organization entity type.
The provider Is Doing Business As Cushing Medical Specialist.

The provider's business location address is:

1025 E 2ND ST
CUSHING, OK
ZIP 74023-136
Phone: (918) 225-3627

The provider's authorized official is Stephen C. Petrovich .
The authorized official title is Evp General Counsel and has the following contact phone number (615) 296-3594.

The CLIA number assigned to this NPI record is 37D0989460 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 7/8/2021.


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
1261QR1300XClinic/CenterRural HealthYes

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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