Caddo Family Medicine Clinic
LBN: Medicine Wheel Inc
Caddo Family Medicine Clinic is an health care organization with primary practice located at 128 Buffalo Street , Caddo OK 74729. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Medicine Wheel Inc can be contacted via phone (580) 367-2100, or through Weathers, Paul E via phone (580) 367-2100.
Contact Information
Primary practice address
128 Buffalo Street
Caddo OK 74729
Phone: (580) 367-2100
Fax: (580) 367-2103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2982 | Oklahoma |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2982 | Oklahoma |
Profile Details
| NPI number | 1477899532 |
|---|---|
| LBN Legal business name | Medicine Wheel Inc |
| DBA Doing business as | Caddo Family Medicine Clinic |
| Authorized official | Weathers, Paul E Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2012 |
| Last updated | May 20th, 2014 - about 12 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 | 1477899532 | NPPES |
| Oklahoma | MEDICAID | 200328450A | |
| Oklahoma | MEDICAID | 200328450B |
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