Walkup Family Medicine Clinic Llc

LBN: Walkup Family Medicine Clinic Llc
Walkup Family Medicine Clinic Llc is an health care organization with primary practice located at 1302 S Lynn Ln , Idabel OK 74745-6860. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Walkup Family Medicine Clinic Llc can be contacted via phone (405) 639-7771, or through Walkup, Stormy via phone (405) 639-7771.

Contact Information

Primary practice address
1302 S Lynn Ln Idabel OK 74745-6860
Phone: (405) 639-7771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walkup, Stormy Doctor of Osteopathy (DO)
Phone: (405) 639-7771

Health care specialties

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

Profile Details

NPI number 1508461856
LBN Legal business name Walkup Family Medicine Clinic Llc
DBA Doing business as
Authorized official Walkup, Stormy Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2020
Last updated Jan 10th, 2022 - about 3 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 1508461856 NPPES
Oklahoma MEDICAID 200730970A

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