Family Medical Clinic in Broken Bow - Family Medicine

Family Medical Clinic - NPI 1912126335

Family Medical Clinic is a Family Medicine in Broken Bow, Oklahoma. Family Medical Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Family Medical Clinic is 1912126335. The last update date is 2008-08-12.

Family Medical Clinic's current location address is 110 W 1st Street, Broken Bow, Oklahoma. You can contact this provider via phone number 5805847210. The mailing address for Family Medical Clinic is 110 W 1st Street, Broken Bow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Medical Clinic
Address 110 W 1st Street, Broken Bow, Oklahoma
Phone Number 5805847210
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mchnery R Jason
Credentials PA
Telephone Number 5805847210

NPI Number Detail

NPI Number 1912126335
Provider Enumeration Date 2007-04-24
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 110 W 1st Street
City Broken Bow
State Oklahoma (OK)
Post Code 747283901
Phone Number 5805847210
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No PA1255
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200015540B OK --

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FAQs about Family Medical Clinic

What is the unique identifier code issued to Family Medical Clinic by the Centers for Medicare & Medicaid Services (CMS)?

The Family Medical Clinic has been assigned the NPI (National Provider Identifier) 1912126335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Family Medical Clinic's facilities are situated?

The facilities of Family Medical Clinic are physically located at the following address: 110 W 1St Street, Broken Bow, OK, 747283901.

What is Family Medical Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Family Medical Clinic is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did the Family Medical Clinic receive its 1912126335?

The Family Medical Clinic was issued its 1912126335 on 2007-04-24, which is the date when the organization was assigned this unique identifier.

When was the Family Medical Clinic's information last updated?

The Family Medical Clinic's information was last updated on 2008-08-12.

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