Provider Demographics
NPI:1528629813
Name:MEDEFY HEALTH LLC
Entity type:Organization
Organization Name:MEDEFY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-710-0555
Mailing Address - Street 1:15 E 5TH ST STE 2701
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-4334
Mailing Address - Country:US
Mailing Address - Phone:918-770-8822
Mailing Address - Fax:
Practice Address - Street 1:8596 E 101ST ST STE C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7037
Practice Address - Country:US
Practice Address - Phone:918-770-8822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management