COFFEE CREEK MEDICAL CLINIC
NPI 1699963264
Clinic/Center in Edmond, OK
- Organization
- Clinic/Center
About COFFEE CREEK MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Coffee Creek Medical Clinic, a provider established in Edmond, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1699963264 assigned on October 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Coffee Creek Medical Clinic. The authorized official of this NPI record is Dr. Timothy Brian Jones M.d. (Owner)
- NPI
- 1699963264 Verify this NPI
- Provider Legal Name
- KICKINGBIRD FAMILY MEDICINE PLLC
- Other Organization Name
- COFFEE CREEK MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2820 N KELLY AVE SUITE 200 EDMOND, OK 73003
- Location Phone
- (405) 330-1478
- Location Fax
- (405) 330-6231
- Mailing Address
- PO BOX 31266 EDMOND, OK 73003
- Mailing Phone
- (405) 330-1478
- Mailing Fax
- (405) 330-6231
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 02-04-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699963264, enumerated as an "organization" on October 09, 2007.
The provider is located at 2820 N KELLY AVE SUITE 200 EDMOND, OK 73003 and the phone number is (405) 330-1478.
Clinic/Center with taxonomy code 261Q00000X.
