Saints Medical Group, LLC
Family Medicine in Okemah, OK. Organization (NPI-2).
NPI number1205428596
StatusActive
Last updated in NPPESMar 27, 2024
Details
- NPI
- 1205428596
- Entity type
- Organization (NPI-2)
- Legal business name
- Saints Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2021
- Certification date
- Mar 27, 2024
- Last updated
- Mar 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Ssm Health Okemah (Doing Business As)
Practice location
519 S Woody Guthrie StOkemah, OK 74859-4645
Phone 918-623-9309 · Fax 918-623-9318
Mailing address
519 S Woody Guthrie StOkemah, OK 74859-4645
Phone 918-623-9309 · Fax 918-623-9318
Authorized official
Shasta Rene Manuel
Vice President - Finance
4052727282
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