1316671555 NPI number — REME HEALTHCARE CORP

Table of content: (NPI 1316671555)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316671555 NPI number — REME HEALTHCARE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REME HEALTHCARE CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MIDCARE TELEHEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316671555
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 W WILSHIRE BLVD STE 403C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73116-7055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-505-2505
Provider Business Mailing Address Fax Number:
833-929-3523

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 W WILSHIRE BLVD STE 403C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73116-7055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-505-2505
Provider Business Practice Location Address Fax Number:
833-929-3523
Provider Enumeration Date:
07/13/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MBA-ETUGE
Authorized Official First Name:
RITA
Authorized Official Middle Name:
ENGOWI
Authorized Official Title or Position:
OWNER/PROVIDER
Authorized Official Telephone Number:
405-922-6967

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)