Organization · Type 2 NPI
Generation Community Impact Foundation
Clinic/Center · Midwest City, OK
NPI number
1902613490
Active
Practice location
6520 E Reno Ave Ste D
Midwest City, OK 73110-2119
Fax (405) 393-6329
Mailing address
PO Box 52
Spencer, OK 73084-0052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Midwest City
About NPI 1902613490
Generation Community Impact Foundation's National Provider Identifier is 1902613490, issued on Dec 17, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Midwest City, OK. The record was last updated on Dec 18, 2024.