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1669236162 NPI number — PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC

NPI Number: 1669236162
Health Care Provider/Practitioner: PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC

Information about “1669236162” NPI (PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC) exists in 1669236162 in HTML format HTML  |  1669236162 in plain Text format TXT  |  1669236162 in PDF (Portable Document Format) PDF  |  1669236162 in an XML format XML  formats.

NPI Number : 1669236162 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669236162",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1800 CANYON PARK CIR STE 401",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDMOND",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73013-6631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-266-1262",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1800 CANYON PARK CIR STE 401",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDMOND",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73013-6631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-266-1262",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/06/2024",
    "LastUpdateDate": "02/06/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCULLOCK",
    "AuthorizedOfficialFirstName": "DEBRA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDER, EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "APRN",
    "AuthorizedOfficialTelephoneNumber": "405-266-1262",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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