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NPI Code Detail

MEDICARE: MEMORIAL HEALTH GROUP LLC

MEDICARE: MEMORIAL HEALTH GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1073440442
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HEALTH GROUP LLC
Provider Business Mailing Address
First Line : 8131 S MEMORIAL DR STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-4348
Country : US
Telephone Number : 918-200-9944
Fax Number : 877-616-3089
Provider Business Practice Location Address
First Line : 1420 N HASKELL BLVD
Second Line :
City : HASKELL
State : OK
Zip : 74436
Country : US
Telephone Number : 918-200-9944
Fax Number : 877-616-3089
Authorized Official
Title or Position : OWNER
Name : MATTHEW DYER
Credential :
Telephone Number : 918-808-5629
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “MEMORIAL HEALTH GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.