Dr. Lively'S Child & Family Wellness Ctr. Pc in Cushing - Exclusive Provider Organization

Dr. Lively'S Child & Family Wellness Ctr. Pc - NPI 1710134580

Dr. Lively'S Child & Family Wellness Ctr. Pc is a Exclusive Provider Organization in Cushing, Oklahoma. Dr. Lively'S Child & Family Wellness Ctr. Pc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Dr. Lively'S Child & Family Wellness Ctr. Pc is 1710134580. The last update date is 2008-08-25.

Dr. Lively'S Child & Family Wellness Ctr. Pc's current location address is Po Box 990, Cushing, Oklahoma. You can contact this provider via phone number 9182253137 and fax number 9183550298. The mailing address for Dr. Lively'S Child & Family Wellness Ctr. Pc is Po Box 990, Cushing, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Lively'S Child & Family Wellness Ctr. Pc
Address Po Box 990, Cushing, Oklahoma
Phone Number 9182253137
Fax Number 9183550298
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Lively Lynn Kathy
Credentials PHD
Telephone Number 9182253137

NPI Number Detail

NPI Number 1710134580
Provider Enumeration Date 2008-08-25
Last Updated Date 2008-08-25

Provider Mailing Address Detail

Address Po Box 990
City Cushing
State Oklahoma (OK)
Post Code 740230990
Phone Number 9182253137
Fax Number 9183550298

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 766
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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FAQs about Dr. Lively'S Child & Family Wellness Ctr. Pc

What is the unique identifier code issued to Dr. Lively'S Child & Family Wellness Ctr. Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Dr. Lively'S Child & Family Wellness Ctr. Pc has been assigned the NPI (National Provider Identifier) 1710134580. 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 Dr. Lively'S Child & Family Wellness Ctr. Pc's facilities are situated?

The facilities of Dr. Lively'S Child & Family Wellness Ctr. Pc are physically located at the following address: Po Box 990, Cushing, OK, 740230990.

What is the Dr. Lively'S Child & Family Wellness Ctr. Pc's specialty and taxonomy code?

The Dr. Lively'S Child & Family Wellness Ctr. Pc's specialty is Exclusive Provider Organization, and the corresponding taxonomy code is 302F00000X.

When was the Dr. Lively'S Child & Family Wellness Ctr. Pc's 1710134580 issued?

The Dr. Lively'S Child & Family Wellness Ctr. Pc's 1710134580 was issued on 2008-08-25.

When was the Dr. Lively'S Child & Family Wellness Ctr. Pc's information last updated?

The Dr. Lively'S Child & Family Wellness Ctr. Pc's information was last updated on 2008-08-25.

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