Green Country Healthcare For Women in Tulsa - Specialist

Green Country Healthcare For Women - NPI 1497974984

Green Country Healthcare For Women is a Specialist in Tulsa, Oklahoma. Green Country Healthcare For Women practices all healthcare services and medical treatments related to Specialist. The NPI Number for Green Country Healthcare For Women is 1497974984. The last update date is 2020-08-22.

Green Country Healthcare For Women's current location address is 1145 S Utica Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9183825399 and fax number 9183825704. The mailing address for Green Country Healthcare For Women is 1145 S Utica Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Green Country Healthcare For Women
Address 1145 S Utica Ave, Tulsa, Oklahoma
Phone Number 9183825399
Fax Number 9183825704
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Woodruff Lusalyer Conchita
Credentials M.D.
Telephone Number 9183825399

NPI Number Detail

NPI Number 1497974984
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1145 S Utica Ave
City Tulsa
State Oklahoma (OK)
Post Code 741044000
Phone Number 9183825399
Fax Number 9183825704

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 23123
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207V00000X OK TAXOMONY
2372057 OK PROVIDER NUMBER-UNITED HC
261QM2500X OK TAXONOMY NUMBER
2250926 OK UNITED HEALTH CARE
593884499004 OK BCBS
1720151707 OK NPI -INDIVIUAL

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FAQs about Green Country Healthcare For Women

What is the unique identifier code issued to Green Country Healthcare For Women by the Centers for Medicare & Medicaid Services (CMS)?

The Green Country Healthcare For Women has been assigned the NPI (National Provider Identifier) 1497974984. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Green Country Healthcare For Women's physical address?

The Green Country Healthcare For Women is physically located at 1145 S Utica Ave, in the city of Tulsa, OK, with the postal code 741044000.

What is the Green Country Healthcare For Women's specialty and taxonomy code?

The Green Country Healthcare For Women's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497974984 to Green Country Healthcare For Women?

The Centers for Medicare & Medicaid Services originally issued the 1497974984 to Green Country Healthcare For Women on 2007-04-24.

As of what date was the information regarding Green Country Healthcare For Women, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Green Country Healthcare For Women, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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