Ssm Health Medical Group Shawnee Kickapoo Clinic

LBN: Saints Medical Group, Llc
Ssm Health Medical Group Shawnee Kickapoo Clinic is an health care organization with primary practice located at 3700 N Kickapoo Ave , Shawnee OK 74804-1707. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Saints Medical Group, Llc can be contacted via phone (405) 273-6383, or through Manuel, Shasta Rene via phone (405) 272-7282.

Contact Information

Primary practice address
3700 N Kickapoo Ave Shawnee OK 74804-1707
Phone: (405) 273-6383
Fax: (405) 273-3748
Website:
Map and Directions
Authorized official contact:
Name: Manuel, Shasta Rene
Phone: (405) 272-7282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1093395618
LBN Legal business name Saints Medical Group, Llc
DBA Doing business as Ssm Health Medical Group Shawnee Kickapoo Clinic
Authorized official Manuel, Shasta Rene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2021
Last updated Mar 27th, 2024 - about 2 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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