MEDWISE LLC NPI 1447064175

NPI Information

  • NPI: 1447064175
  • Provider Name: MEDWISE LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 37D2211496
  • Address: 110 E 41ST ST
    SAND SPRINGS, OK
    ZIP 74063
  • Phone: (918) 727-2831

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NPI Details

MEDWISE LLC is an urgent care clinic center in Sand Springs, OK. MEDWISE LLC NPI is 1447064175. The provider is registered as an organization entity type.

The provider's business location address is:

110 E 41ST ST
SAND SPRINGS, OK
ZIP 74063-851
Phone: (918) 727-2831

The provider's authorized official is Dennis Sidney Blackstad .
The authorized official title is President and has the following contact phone number (918) 605-6582.

The CLIA number assigned to this NPI record is 37D2211496 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2025 and was last updated on 2/4/2025.

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 CareYes

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: 3/30/2025

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