| Northcare Center | |
|
1140 N Hudson Ave Oklahoma City OK 73103-3918 | |
| (405) 272-0660 | |
| Not Available |
| Full Name | Northcare Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 N Hudson Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lynelle Brummel (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4058582733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcare Center 809 Heatherhill Ct Norman OK 73072-4219 Ph: (405) 360-3942 | Northcare Center 1140 N Hudson Ave Oklahoma City OK 73103-3918 Ph: (405) 272-0660 |
| NPI Number | 1699980623 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699980623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2547 (Oklahoma) | Primary |
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