Grand Lake Regional Cardiology Services Llc in Grove - Interventional Cardiology
Grand Lake Regional Cardiology Services Llc - NPI 1811996861
Grand Lake Regional Cardiology Services Llc is a Interventional Cardiology in Grove, Oklahoma. Grand Lake Regional Cardiology Services Llc practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Grand Lake Regional Cardiology Services Llc is 1811996861. The last update date is 2022-07-21.
Grand Lake Regional Cardiology Services Llc's current location address is Po Box 452438, Grove, Oklahoma. You can contact this provider via phone number 9187861070 and fax number 9187867699. The mailing address for Grand Lake Regional Cardiology Services Llc is Po Box 452438, Grove, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Lake Regional Cardiology Services Llc |
|---|---|
| Address | Po Box 452438, Grove, Oklahoma |
| Phone Number | 9187861070 |
| Fax Number | 9187867699 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Callicoat Edward Paul |
| Credentials | MD |
| Telephone Number | 9187867667 |
NPI Number Detail
| NPI Number | 1811996861 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 452438 |
|---|---|
| City | Grove |
| State | Oklahoma (OK) |
| Post Code | 743452438 |
| Phone Number | 9187861070 |
| Fax Number | 9187867699 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200046050A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Grand Lake Regional Cardiology Services Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Grand Lake Regional Cardiology Services Llc has been assigned the NPI (National Provider Identifier) 1811996861. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Grand Lake Regional Cardiology Services Llc?
The Grand Lake Regional Cardiology Services Llc is situated at Po Box 452438, in the city of Grove, state of OK, with the zip code 743452438.
What is Grand Lake Regional Cardiology Services Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grand Lake Regional Cardiology Services Llc's area of specialization is Interventional Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0011X.
On what date did the Grand Lake Regional Cardiology Services Llc receive the assignment of its 1811996861 from the Centers for Medicare & Medicaid Services?
The Grand Lake Regional Cardiology Services Llc was issued its 1811996861 by the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date were the details pertaining to Grand Lake Regional Cardiology Services Llc last refreshed?
The information related to the Grand Lake Regional Cardiology Services Llc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.