Bethany Medical Clinic, Pllc in Bethany - Health Service
Bethany Medical Clinic, Pllc - NPI 1255522306
Bethany Medical Clinic, Pllc is a Health Service in Bethany, Oklahoma. Bethany Medical Clinic, Pllc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Bethany Medical Clinic, Pllc is 1255522306. The last update date is 2020-08-31.
Bethany Medical Clinic, Pllc's current location address is 6801 Nw 39th Expy, Bethany, Oklahoma. You can contact this provider via phone number 4057892441 and fax number 4057897978. The mailing address for Bethany Medical Clinic, Pllc is 6801 Nw 39th Expy, Bethany, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bethany Medical Clinic, Pllc |
|---|---|
| Address | 6801 Nw 39th Expy, Bethany, Oklahoma |
| Phone Number | 4057892441 |
| Fax Number | 4057897978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brant W. Douglas |
| Credentials | M.D. |
| Telephone Number | 4057892441 |
NPI Number Detail
| NPI Number | 1255522306 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2020-08-31 |
Provider Mailing Address Detail
| Address | 6801 Nw 39th Expy |
|---|---|
| City | Bethany |
| State | Oklahoma (OK) |
| Post Code | 730082501 |
| Phone Number | 4057892441 |
| Fax Number | 4057897978 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 9222 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH9820 | OK | MEDICARE RR GROUP |
Post Comment/ Review Below
What is the Bethany Medical Clinic, Pllc's unique identification number?
The Bethany Medical Clinic, Pllc has been assigned the NPI (National Provider Identifier) Number 1255522306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Bethany Medical Clinic, Pllc is physically located?
The Bethany Medical Clinic, Pllc is physically situated at the following address: 6801 Nw 39Th Expy, Bethany, OK, 730082501.
What is Bethany Medical Clinic, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bethany Medical Clinic, Pllc's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 261Qh0100X.
On what date did the Bethany Medical Clinic, Pllc receive its 1255522306 assignment from the Centers for Medicare & Medicaid Services?
The Bethany Medical Clinic, Pllc was assigned its 1255522306 by the Centers for Medicare & Medicaid Services on 2007-08-05.
As of what date were the details related to Bethany Medical Clinic, Pllc most recently updated or revised?
The information pertaining to Bethany Medical Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-31.
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