COWETA MEDICAL GROUP,P.L.L.C. – NPI #1316183536
Clinic/Center

COWETA MEDICAL GROUP,P.L.L.C. is an AHC clinic located in COWETA, OK. NPPES has assigned the NPI number 1316183536 to COWETA MEDICAL GROUP,P.L.L.C. on December 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 17 years ago on Jan 07, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COWETA MEDICAL GROUP,P.L.L.C. below.

NPI Profile for
COWETA MEDICAL GROUP,P.L.L.C.

NPI Number
1316183536
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COWETA MEDICAL GROUP,P.L.L.C.
Primary location
28622 E 141ST ST SO.
COWETA, OK 74429
Phone: (918) 486-7425 Fax:
Mailing address
PO BOX 1030
28622 E 141ST ST SO.
COWETA, OK 74429
Phone: (918) 486-7425 Fax:
Organization Subpart
No
Authorized Official
JEFF BARENTINE
OWNER
Phone: (918) 486-7425
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QU0200X
- Clinic/Center / Urgent Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.