Cah Acquisition Company 9 LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

2256 Issued in OK

Legal business name

CAH ACQUISITION COMPANY 9 LLC

Practice address

104 W. Broadway
Vici, OK 73859-5900

Phone

(580) 995-3004

Fax

(580) 922-3006

NPI assigned

Jan 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy R Parker

Title

Ceo

Phone

(580) 922-7361

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vici Community Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1982934261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "736630720",
            "telephone_number": "580-922-7361",
            "fax_number": "580-922-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W. BROADWAY",
            "city": "VICI",
            "state": "OK",
            "postal_code": "738595900",
            "telephone_number": "580-995-3004",
            "fax_number": "580-922-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY 9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-922-7361"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2256",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200287200C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vici Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cah Acquisition Company 9 LLC
• Aaron Stanford Hesler, PHARM.D.
• Leslie Clinic Inc.
• Seiling Municipal Hospital Authority
• Texoma Medical Services Inc
• Texoma Medical Services, Inc.

• Rural Health Clinic/Center in Vici, OK
• Providers in Vici, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.