<Unavail>

LBN: Iacc/Ehi Nw, Llc
<Unavail> is an health care organization with primary practice located at 4801 S.E. 15Th Street , Del City OK 73115. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Iacc/Ehi Nw, Llc can be contacted via phone (877) 516-0911, or through Buck, John via phone (713) 637-1004.

Contact Information

Primary practice address
4801 S.E. 15Th Street Del City OK 73115
Phone: (877) 516-0911
Fax: (281) 292-3585
Website:
Map and Directions
Authorized official contact:
Name: Buck, John Doctor of Medicine (MD)
Phone: (713) 637-1004

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1942784715
LBN Legal business name Iacc/Ehi Nw, Llc
DBA Doing business as <Unavail>
Authorized official Buck, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 10th, 2019 - about 7 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 1942784715 NPPES
Oklahoma Other 370240 MEDICARE
Oklahoma Other 2388 MEDICARE
Oklahoma MEDICAID 200834400B MEDICARE

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