HCC OF SHATTUCK, LLC – NPI #1124661624
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

HCC OF SHATTUCK, LLC is a provider located in SHATTUCK, OK. NPPES has assigned the NPI number 1124661624 to HCC OF SHATTUCK, LLC on October 28, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Oct 28, 2021. 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 HCC OF SHATTUCK, LLC below.

NPI Profile for
HCC OF SHATTUCK, LLC

NPI Number
1124661624
Enumeration Date

(more than 6 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
HCC OF SHATTUCK, LLC
Primary location
905 S MAIN ST
SHATTUCK, OK 73858-9205
Phone: (580) 938-2551 Fax:
Mailing address
7725 W RENO AVE STE 150
OKLAHOMA CITY, OK 73127-9712
Phone: (800) 962-3303 Fax:
Organization Subpart
No
Authorized Official
DAWN BOLAR
CEO
Phone: (972) 934-3200
Updated
Certification Date
Oct 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207P00000X
- Emergency Medicine (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Shattuck
Endpoint type
Other URL
Endpoint Description
HOSPITAL
Content Type
CSV
Affiliation
N
Endpoint Location
905 S MAIN ST,
SHATTUCK, OK 77025-1669