institution
Crouch Family Medicine Pc
Primary Care Clinic/Center in Chandler, Oklahoma
NPI 1609093228

Crouch Family Medicine Pc is a Primary Care Clinic/Center based in Chandler, OK and is specialized in Primary Care. Crouch Family Medicine Pc practices in Chandler, OK. The NPI Number for Crouch Family Medicine Pc is 1609093228 and holds a License No. 4290 (Oklahoma).

The current practice location address for Crouch Family Medicine Pc is 806 Manvel Ave, Chandler, OK and can be reached out via phone at 405-258-9955 and via fax at 405-258-9930.

Location: 806 Manvel Ave, Chandler, OK, 74834-3858
institution
Provider Profile Details
NPI Number
1609093228
Provider Name
Crouch Family Medicine Pc
Credential
Provider Entity Type
Organization
Address
806 Manvel Ave, Chandler, OK, 74834-3858
Phone Number
405-258-9955
Fax Number
405-258-9930
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6147210001 01 OK PTAN
9060050 01 AETNA PIN
1618242 01 COVENTRY HEALTH CARE PROVIDER ID #
37D1067992 01 CLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB)
200116520A 01 OK MEDICAID # FOR JASON CROUCH, D.O.
200116520A 05 OK
OKA104243 01 MEDICARE PTAN FOR JANENA MILBURN, APRN, CNP, FNP-C
P00465778 01 RAILROAD MEDICARE PT. B PTAN
1215222666 01 NPI FOR JANENA MILBURN, APRN, CNP, FNP-C
1497890115 01 NPI FOR JASON CROUCH, D.O. (INDIVIDUAL)
4474235 01 CIGNA HEALTHCARE PROVIDER #
1609093228 01 NPI FOR CROUCH FAMILY MEDICINE (ORGANIZATION)
243722101 01 MEDICARE # FOR JASON CROUCH, D.O.
300522328 01 MEDICARE # FOR CROUCH FAMILY MEDICINE PC
200116510A 01 OK MEDICAID # FOR CROUCH FAMILY MEDICINE PC
200116510A 05 OK
6147210001 01 DME PTAN FOR CROUCH FAMILY MEDICINE
DG9878 01 RAILROAD MEDICARE PT. B GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
806 Manvel Ave
City
State
Zip
74834-3858
Phone Number
405-258-9955
Fax Number
405-258-9930
person
Provider Business Mailing Address Details
Address
806 Manvel Ave
City
State
Zip
74834-3858
Phone Number
405-258-9955
Fax Number
405-258-9930
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
4290 (Oklahoma)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.