Seminole Medical Clinic

LBN: Seminole Medical Clinic
Seminole Medical Clinic is an health care organization with primary practice located at 2403 W Wrangler Blvd Ste A, Seminole OK 74868-1900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Seminole Medical Clinic can be contacted via phone (405) 382-4939, or through Butner, Tricia Lee via phone (405) 382-4939.

Contact Information

Primary practice address
2403 W Wrangler Blvd Ste A Seminole OK 74868-1900
Fax: (405) 382-4947
Website:
Authorized official contact:
Name: Butner, Tricia Lee ARNP

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1750386223
LBN Legal business name Seminole Medical Clinic
DBA Doing business as
Authorized official Butner, Tricia Lee ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 13th, 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 1750386223 NPPES
Oklahoma MEDICAID 100748760A

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