Midwest Medical Group Pllc

LBN: Midwest Medical Group Pllc
Midwest Medical Group Pllc is an health care organization with primary practice located at 1201 S Douglas Blvd Suite J, Midwest City OK 73130-5239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Midwest Medical Group Pllc can be contacted via phone (405) 739-6840, or through Anderson, Debbie via phone (405) 739-6840.

Contact Information

Primary practice address
1201 S Douglas Blvd Suite J Midwest City OK 73130-5239
Phone: (405) 739-6840
Fax: (405) 732-7149
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Debbie
Phone: (405) 739-6840

Health care specialties

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

Profile Details

NPI number 1508842444
LBN Legal business name Midwest Medical Group Pllc
DBA Doing business as
Authorized official Anderson, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508842444 NPPES
Oklahoma MEDICAID 100700490B
Oklahoma Other 375659300

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