High Plains Medical Specialists LLC

Organization Active NPI Internal Medicine Physician · Beaver, OK

NPI 1811950348 · NPPES record last updated Mar 11, 2009

Key facts

NPI
1811950348
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
HIGH PLAINS MEDICAL SPECIALISTS LLC
Practice address
623 Avenue C
Beaver, OK 73932
Phone
(580) 625-4854
Fax
(580) 625-4854
NPI assigned
Apr 7, 2006
Organization subpart
No

Authorized official

Name
Mandi R Milhon
Title
Biller
Phone
(620) 624-5691

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

718 Avenue A
Beaver, OK 73932
Phone (580) 625-3477

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

623 Avenue C
Beaver, OK 73932

Mailing address

2 Plaza Dr
Liberal, KS 67901-2743
Phone (620) 624-5691

Other identifiers

IdentifierTypeStateIssuer
100723540AMedicaidOK
110482OtherKSBCBS OF KANSAS

Other providers in Beaver, OK

All providers in Beaver, OK · Internal Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.