Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLACK OAK CLINIC LLC
Active OrganizationBLACK OAK CLINIC LLC is a Clinic/Center organization located in BROKEN BOW, Oklahoma. NPI 1366954661 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · BROKEN BOW, OK
Registration Details
- NPI Number
- 1366954661
- Provider Type
- Organization
- NPI Issued
- Oct 26, 2017 (8.8089508863977 yrs)
- Last Updated
- Aug 7, 2018
Practice Information
- Address
-
110 W 1ST STBROKEN BOW, OK, 74728Browse OK providers · Browse ZIP 74728
- Phone
- 5805843099
- Fax
- 5805843097
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.