Ginia White
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Coleman, OK
NPI 1780130351 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1780130351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 251300000X (OK)
- Practice address
- 451 West Main
Coleman, OK 73432 - Phone
- (580) 937-4418
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251300000X | OK | MD | Local Education Agency (LEA) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Public Schools | Past | Accepting new patients | |
| Coleman Public School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 251300000X | OK | Yes |
Addresses
Primary practice location
451 West Main
Coleman, OK 73432
Mailing address
451 W Main St
Coleman, OK 73432-0188
Phone (580) 937-4418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100684840A | Medicaid | OK | |
| 1346424470 | Medicaid | OK |
Other providers in Coleman, OK
All providers in Coleman, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.