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NPI Code Detail

MEDICARE: CAREATC

MEDICARE: CAREATC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1942851621
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREATC
Provider Business Mailing Address
First Line : 4500 S 129TH EAST AVE STE 191
Second Line :
City : TULSA
State : OK
Zip : 74134-5891
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 S 700 W
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84119-4122
Country : US
Telephone Number : 800-993-8244
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : SPENCER D LLOYD
Credential :
Telephone Number : 918-779-7458
Provider Enumeration Date : 09/24/2019
Last Update Date : 09/24/2019

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Directions to “CAREATC ” 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.