Organization · Type 2 NPI
Oklahoma City Vamc
VA Clinic/Center · Blackwell, OK
NPI number
1639118060
Active
Practice location
1009 W Ferguson Ave, Blackwell Family Medicine
Blackwell, OK 74631-5602
Mailing address
PO Box 94537
Cleveland, OH 44101-4537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
6 other providers at this address
- Blackwell Family Medicine LLCPrimary Care Clinic/Center Blackwell, OK NPI 1376356204
- Samuel L Hague MD PCFamily Medicine Physician Blackwell, OK NPI 1821123621
- Kelsey Burnett, PA-CPhysician Assistant Blackwell, OK NPI 1275959314
- Paul A. Briggs, MDFamily Medicine Physician Blackwell, OK NPI 1528064805
- Phil James Green, PACFamily Medicine Physician Blackwell, OK NPI 1083610752
- Samuel Lyle Hague, MDFamily Medicine Physician Blackwell, OK NPI 1528064763
About NPI 1639118060
Oklahoma City Vamc's National Provider Identifier is 1639118060, issued on Jun 4, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Blackwell, OK. The record was last updated on Jan 16, 2018.