Provider Demographics
NPI:1306952593
Name:STATCARE CLINICS OF GREEN COUNTRY LLC
Entity type:Organization
Organization Name:STATCARE CLINICS OF GREEN COUNTRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RYGIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-299-4333
Mailing Address - Street 1:9716 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7397
Mailing Address - Country:US
Mailing Address - Phone:918-299-4333
Mailing Address - Fax:918-299-4330
Practice Address - Street 1:9716 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7397
Practice Address - Country:US
Practice Address - Phone:918-299-4333
Practice Address - Fax:918-299-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care