<Unavail>

LBN: Jim Wallace & Associates, Inc
<Unavail> is an health care organization with primary practice located at 1320 E 9Th St Ste 4 , Edmond OK 73034-5773. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Jim Wallace & Associates, Inc can be contacted via phone (405) 665-4385, or through Rue-Wallace, Teresa Gale via phone (405) 665-4385.

Contact Information

Primary practice address
1320 E 9Th St Ste 4 Edmond OK 73034-5773
Phone: (405) 665-4385
Fax: (405) 665-6396
Website:
Map and Directions
Authorized official contact:
Name: Rue-Wallace, Teresa Gale MASTERS SCIENCE
Phone: (405) 665-4385

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1073831350
LBN Legal business name Jim Wallace & Associates, Inc
DBA Doing business as <Unavail>
Authorized official Rue-Wallace, Teresa Gale MASTERS SCIENCE
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2010
Last updated May 31st, 2025 - about last year

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 1073831350 NPPES
Oklahoma MEDICAID 100749080

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