South Moore Medical Clinic

LBN: South Moore Medical Clinic, Pc
South Moore Medical Clinic is an health care organization with primary practice located at 14800 S Western Ave , Moore OK 73170-7112. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. South Moore Medical Clinic, Pc can be contacted via phone (405) 912-4900, or through Layne, Keith R via phone (405) 912-4900.

Contact Information

Primary practice address
14800 S Western Ave Moore OK 73170-7112
Phone: (405) 912-4900
Fax: (405) 912-4903
Website:
Map and Directions
Authorized official contact:
Name: Layne, Keith R Doctor of Osteopathy (DO)
Phone: (405) 912-4900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1912094244
LBN Legal business name South Moore Medical Clinic, Pc
DBA Doing business as South Moore Medical Clinic
Authorized official Layne, Keith R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 18th, 2011 - about 15 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 1912094244 NPPES
Oklahoma Other 560202001 DME NUMBER

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