Provider Demographics
NPI:1316017395
Name:URGENT CARE SERVICES OF OKLAHOMA, PC
Entity Type:Organization
Organization Name:URGENT CARE SERVICES OF OKLAHOMA, PC
Other - Org Name:CLAREMORE PHYSICIANS IMMEDIATE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-343-2273
Mailing Address - Street 1:PO BOX 108822
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73101-8822
Mailing Address - Country:US
Mailing Address - Phone:918-343-2273
Mailing Address - Fax:918-343-2284
Practice Address - Street 1:1926 S HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-4371
Practice Address - Country:US
Practice Address - Phone:918-343-2273
Practice Address - Fax:918-343-2284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care