Provider Demographics
NPI:1699138149
Name:MURRAY COUNTY URGENT CARE PLLC
Entity type:Organization
Organization Name:MURRAY COUNTY URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OHENHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-665-4351
Mailing Address - Street 1:1912 W BROADWAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086
Mailing Address - Country:US
Mailing Address - Phone:580-665-3231
Mailing Address - Fax:580-665-3231
Practice Address - Street 1:116 E ROBERT S KERR BLVD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:OK
Practice Address - Zip Code:73098-6621
Practice Address - Country:US
Practice Address - Phone:405-665-4351
Practice Address - Fax:405-665-6372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23001261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care