Restored Health & Wellness Center in Tulsa - Exclusive Provider Organization
Restored Health & Wellness Center - NPI 1063532760
Restored Health & Wellness Center is a Exclusive Provider Organization in Tulsa, Oklahoma. Restored Health & Wellness Center practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Restored Health & Wellness Center is 1063532760. The last update date is 2010-01-12.
Restored Health & Wellness Center's current location address is 4329 S Peoria Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187128616 and fax number 9187128612. The mailing address for Restored Health & Wellness Center is 4329 S Peoria Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Restored Health & Wellness Center |
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Address | 4329 S Peoria Ave, Tulsa, Oklahoma |
Phone Number | 9187128616 |
Fax Number | 9187128612 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Lewis P Chrystal |
Credentials | D.CC |
Telephone Number | 9187128616 |
NPI Number Detail
NPI Number | 1063532760 |
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Provider Enumeration Date | 2007-03-29 |
Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
Address | 4329 S Peoria Ave |
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City | Tulsa |
State | Oklahoma (OK) |
Post Code | 741053935 |
Phone Number | 9187128616 |
Fax Number | 9187128612 |
Provider's Primary Taxonomy Detail
Speciality | Exclusive Provider Organization |
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Taxonomy | 302F00000X |
Licence No | 3690 |
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the unique identification code assigned to Restored Health & Wellness Center by the Centers for Medicare & Medicaid Services?
The Restored Health & Wellness Center has been issued the NPI (National Provider Identifier) 1063532760. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Restored Health & Wellness Center is located?
The Restored Health & Wellness Center is situated at the following address: 4329 S Peoria Ave, Tulsa, OK, 741053935.
What is Restored Health & Wellness Center's area of expertise and its corresponding taxonomy classification?
The Restored Health & Wellness Center's field of specialization is Exclusive Provider Organization, and it falls under the taxonomy code 302F00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Restored Health & Wellness Center receive its 1063532760 assignment from the Centers for Medicare & Medicaid Services?
The Restored Health & Wellness Center was assigned its 1063532760 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date was the information regarding Restored Health & Wellness Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Restored Health & Wellness Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-12.