Genesis Emergency Medicine Services Llc

LBN: Genesis Emergency Medicine Services Llc
Genesis Emergency Medicine Services Llc is an health care organization with primary practice located at 1200 W Liberty Rd , Atoka OK 74525-1621. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Genesis Emergency Medicine Services Llc can be contacted via phone (580) 889-3333, or through Yates, Frederick K via phone (318) 524-3018.

Contact Information

Primary practice address
1200 W Liberty Rd Atoka OK 74525-1621
Phone: (580) 889-3333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yates, Frederick K Doctor of Medicine (MD)
Phone: (318) 524-3018

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1669425682
LBN Legal business name Genesis Emergency Medicine Services Llc
DBA Doing business as
Authorized official Yates, Frederick K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Sep 27th, 2012 - about 13 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 1669425682 NPPES
Arkansas MEDICAID 159042002
Arkansas Other 5F445
Arkansas Other DE3171

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