| Northcare | |
|
820 W 15th St Edmond OK 73013-3621 | |
| (405) 858-2700 | |
| Not Available |
| Full Name | Northcare |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 820 W 15th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Lonnie Rice (CFO) |
| Authorized Official Contact | 4058582735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcare Po Box 12978 Oklahoma City OK 73157-2978 Ph: (405) 858-2700 | Northcare 820 W 15th St Edmond OK 73013-3621 Ph: (405) 858-2700 |
| NPI Number | 1679278584 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679278584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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