Southward Family Medicine

LBN: Southward Family Medicine
Southward Family Medicine is an health care organization with primary practice located at 1111 Walnut Dr , Ardmore OK 73401-2354. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Southward Family Medicine can be contacted via phone (580) 223-9008, or through Southward, Lauren via phone (580) 223-9008.

Contact Information

Primary practice address
1111 Walnut Dr Ardmore OK 73401-2354
Phone: (580) 223-9008
Fax: (580) 223-9114
Website:
Map and Directions
Authorized official contact:
Name: Southward, Lauren Doctor of Medicine (MD)
Phone: (580) 223-9008

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 21988 Oklahoma

Profile Details

NPI number 1962510032
LBN Legal business name Southward Family Medicine
DBA Doing business as
Authorized official Southward, Lauren Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 4th, 2021 - about 5 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 1962510032 NPPES
Oklahoma MEDICAID 442785229-001

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