Lifebridge Medical Llc
LBN: Lifebridge Medical Llc
Lifebridge Medical Llc is an health care organization with primary practice located at 1211 N Shartel Ave Ste 801 , Oklahoma City OK 73103-2425. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Lifebridge Medical Llc can be contacted via phone (405) 504-5433, or through Germany, Lee Mac via phone (405) 504-5433.
Contact Information
Primary practice address
1211 N Shartel Ave Ste 801
Oklahoma City OK 73103-2425
Phone: (405) 504-5433
Fax:
Website:
Authorized official contact:
Name: Germany, Lee Mac Physician's Assistant Certified (PA-C)
Phone: (405) 504-5433
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1003589706 |
|---|---|
| LBN Legal business name | Lifebridge Medical Llc |
| DBA Doing business as | |
| Authorized official | Germany, Lee Mac Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2021 |
| Last updated | Aug 5th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003589706 | NPPES |
| Oklahoma | MEDICAID | 1770740680 |
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