1538186424 NPI number — FAMILY HEALTH CARE L L C

Table of content: (NPI 1538186424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538186424 NPI number — FAMILY HEALTH CARE L L C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY HEALTH CARE L L C
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:
Provider Other Organization Name Type Code:
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:
1538186424
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10001 S WESTERN AVE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73139-2997
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-691-4520
Provider Business Mailing Address Fax Number:
405-691-0062

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10001 S WESTERN AVE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73139-2997
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-691-4520
Provider Business Practice Location Address Fax Number:
405-691-0062
Provider Enumeration Date:
07/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SINGH
Authorized Official First Name:
RAM
Authorized Official Middle Name:
AKBAL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
405-691-4520

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DC9051 . This is a "RAILROAD MEDICARE ID" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com