Edmond Am Clinic

LBN: Edmond Am Clinic Llc
Edmond Am Clinic is an health care organization with primary practice located at 1714 S Kelly Ave , Edmond OK 73013-3624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edmond Am Clinic Llc can be contacted via phone (405) 216-3993, or through Buffington, Bill J via phone (405) 216-3993.

Contact Information

Primary practice address
1714 S Kelly Ave Edmond OK 73013-3624
Phone: (405) 216-3993
Fax: (405) 216-3992
Website:
Map and Directions
Authorized official contact:
Name: Buffington, Bill J Doctor of Medicine (MD)
Phone: (405) 216-3993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N/A Oklahoma

Profile Details

NPI number 1760655773
LBN Legal business name Edmond Am Clinic Llc
DBA Doing business as Edmond Am Clinic
Authorized official Buffington, Bill J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Oct 21st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760655773 NPPES
Oklahoma MEDICAID 200134140A

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