Midway Medical Clinic

LBN: Midway Medical Clinic
Midway Medical Clinic is an health care organization with primary practice located at 351 N Air Depot Blvd Suite Bb, Midwest City OK 73110-1700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Midway Medical Clinic can be contacted via phone (405) 610-3600, or through Boatner, Mckinley via phone (405) 610-3600.

Contact Information

Primary practice address
351 N Air Depot Blvd Suite Bb Midwest City OK 73110-1700
Phone: (405) 610-3600
Fax: (405) 610-3607
Website:
Map and Directions
Authorized official contact:
Name: Boatner, Mckinley Physician Assistant (PA)
Phone: (405) 610-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1144307554
LBN Legal business name Midway Medical Clinic
DBA Doing business as
Authorized official Boatner, Mckinley Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 5th, 2012 - about 14 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 1144307554 NPPES
Oklahoma MEDICAID 200015390A
Oklahoma MEDICAID 200015390B

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