Collinsville Family Clinic, Inc. in Collinsville - Family Medicine

Collinsville Family Clinic, Inc. - NPI 1235259573

Collinsville Family Clinic, Inc. is a Family Medicine in Collinsville, Oklahoma. Collinsville Family Clinic, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Collinsville Family Clinic, Inc. is 1235259573. The last update date is 2009-03-12.

Collinsville Family Clinic, Inc.'s current location address is 1205 W Main St, Collinsville, Oklahoma. You can contact this provider via phone number 9183716022 and fax number 9183713168. The mailing address for Collinsville Family Clinic, Inc. is 1205 W Main St, Collinsville, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Collinsville Family Clinic, Inc.
Address 1205 W Main St, Collinsville, Oklahoma
Phone Number 9183716022
Fax Number 9183713168
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Patton D. Jerry
Credentials D.O.
Telephone Number 9183716022

NPI Number Detail

NPI Number 1235259573
Provider Enumeration Date 2007-03-30
Last Updated Date 2009-03-12

Provider Mailing Address Detail

Address 1205 W Main St
City Collinsville
State Oklahoma (OK)
Post Code 740213114
Phone Number 9183716022
Fax Number 9183713168

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1872
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
1801890454 OK NPI INDIVIDUAL
100251820A OK --

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FAQs about Collinsville Family Clinic, Inc.

What is the unique provider identifier assigned to Collinsville Family Clinic, Inc.?

The Collinsville Family Clinic, Inc. has been issued the NPI (National Provider Identifier) 1235259573 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Collinsville Family Clinic, Inc.?

The Collinsville Family Clinic, Inc. is situated at 1205 W Main St, in the city of Collinsville, state of OK, with the zip code 740213114.

What is Collinsville Family Clinic, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Collinsville Family Clinic, Inc. is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Collinsville Family Clinic, Inc. receive the assignment of its 1235259573 from the Centers for Medicare & Medicaid Services?

The Collinsville Family Clinic, Inc. was issued its 1235259573 by the Centers for Medicare & Medicaid Services on 2007-03-30.

When was the information related to Collinsville Family Clinic, Inc. most recently updated or refreshed?

The details pertaining to the Collinsville Family Clinic, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-12.

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