Midwest City Hma Physician Management, LLC

Organization Active NPI Family Medicine Physician · Harrah, OK

NPI 1437404167 · NPPES record last updated Nov 27, 2012

Key facts

NPI
1437404167
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Practice address
20826 Main St
Harrah, OK 73045-9756
Phone
(405) 454-2404
Fax
(405) 454-6372
NPI assigned
Jul 18, 2012
Organization subpart
Yes
Parent organization (as reported)
HEALTH MANAGEMENT ASSOCIATES, INC.

Authorized official

Name
Mr. Michael L Gingras
Title
Vice President
Phone
(239) 598-3131

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Sooner Medical Management (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X

Addresses

Primary practice location

20826 Main St
Harrah, OK 73045-9756

Mailing address

5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733
Phone (239) 598-3131

Other names

  • MPG-Family Care Center of Harrah Doing business as

Other providers in Harrah, OK

All providers in Harrah, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.