Provider Demographics
NPI:1427337518
Name:CLASSEN URGENT CARE CLINIC LLC
Entity type:Organization
Organization Name:CLASSEN URGENT CARE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORBATI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:405-818-9600
Mailing Address - Street 1:2818 CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4059
Mailing Address - Country:US
Mailing Address - Phone:405-818-9600
Mailing Address - Fax:405-364-5379
Practice Address - Street 1:2818 CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4059
Practice Address - Country:US
Practice Address - Phone:405-701-7111
Practice Address - Fax:405-701-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200357090AMedicaid
OK6942150001OtherDMEPOS
OK200357090AMedicaid