Green Country Family Clinic Llc in Tulsa - Family
Green Country Family Clinic Llc - NPI 1972544807
Green Country Family Clinic Llc is a Family in Tulsa, Oklahoma. Green Country Family Clinic Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Green Country Family Clinic Llc is 1972544807. The last update date is 2010-06-15.
Green Country Family Clinic Llc's current location address is 1312 S Garnett Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9184372500 and fax number 9184372535. The mailing address for Green Country Family Clinic Llc is 1312 S Garnett Rd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Country Family Clinic Llc |
|---|---|
| Address | 1312 S Garnett Rd, Tulsa, Oklahoma |
| Phone Number | 9184372500 |
| Fax Number | 9184372535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Canaday D Gus |
| Credentials | ARNP |
| Telephone Number | 9184372500 |
NPI Number Detail
| NPI Number | 1972544807 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | 1312 S Garnett Rd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741281835 |
| Phone Number | 9184372500 |
| Fax Number | 9184372535 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0067546 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Green Country Family Clinic Llc's 1972544807?
The Green Country Family Clinic Llc's NPI (National Provider Identifier) Number is 1972544807. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Green Country Family Clinic Llc is physically located?
The Green Country Family Clinic Llc is situated at the following address: 1312 S Garnett Rd, Tulsa, OK 741281835.
What is the Green Country Family Clinic Llc's area of specialization and corresponding taxonomy classification?
The Green Country Family Clinic Llc's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1972544807 to Green Country Family Clinic Llc?
The Centers for Medicare & Medicaid Services assigned the 1972544807 to Green Country Family Clinic Llc on 2006-06-10.
As of what date were the details pertaining to Green Country Family Clinic Llc last refreshed?
The information related to the Green Country Family Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2010-06-15.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC