LEE FAMILY CLINIC


Address: 1610 W University Blvd, Durant, OK 74701-3045
Phone: 5809243400

LEE FAMILY CLINIC (NPI# 1295854180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295854180
Entity Type Organization
Organization Name LEE FAMILY CLINIC
Other Organization Name UNIVERSITY MEDICAL GROUP
Practice Address 1610 W University Blvd
Durant
OK 74701-3045
Mailing Address Po Box 1610
Durant
OK 74702-1610
Practice Telephone 5809243400
Practice Fax Number 5809242000
Mailing Telephone 5809243400
Mailing Fax Number 5809242000
Enumeration Date 2007-03-29
Last Update Date 2008-08-20
Authorized Official Name NIKKI D DOWNS (CREDENTIALING COORDINATOR)
Authorized Official Telephone 5809243400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
University Medical Group Doing Business As Name - Organization

Office Location

Street Address 1610 W UNIVERSITY BLVD
City DURANT
State OK
Zip Code 74701-3045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702724 Terry M. Lee Emergency Medicine 1610 W University Blvd, Durant, OK 74701-3045 2005-07-07
1063910925 Marshall County Hma LLC Clinic/Center 1610 W University Blvd, Durant, OK 74701-3096 2018-01-25
1487100558 Jessica Oneal Anderson Family Medicine 1610 W University Blvd, Durant, OK 74701 2016-08-29
1093052078 Osu Center for Health Sciences Clinic/Center 1610 W University Blvd, Durant, OK 74701-3096 2013-01-10
1578794087 Olen Lynn Jestis II Family Medicine 1610 W University Blvd, Durant, OK 74702-1610 2009-07-31
1487760633 Georgia M. Banther Dietitian, Registered 1610 W University Blvd, Durant, OK 74701-3045 2006-08-21
1114952678 Charles Powers Physician Assistant 1610 W University Blvd, Durant, OK 74701-3045 2006-07-12
1073558441 Lee Family Clinic Inc Family Medicine 1610 W University Blvd, Durant, OK 74701-3045 2006-06-18
1326087800 David M Lovelace Emergency Medicine 1610 W University Blvd, Durant, OK 74701-3096 2006-06-06
1629070388 William J Harrison Family Medicine 1610 W University Blvd, Durant, OK 74701-3045 2005-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134738362 Elevate Therapy, Pllc Physical Therapist 523 N Wshington Ave, Durant, OK 74701 2020-07-23
1093334906 Duncan Kovash Nurse Practitioner 1901 Chukka Hina, Durant, OK 74701 2020-04-10
1184193690 Inventive Therapy Services, LLC Occupational Therapist 2620 Maxey Dr, Durant, OK 74701 2018-11-14
1790271831 Jazmine Gabrielle Benavidez Specialist/Technologist 1713 North 1st Avenue, Durant, OK 74701 2018-07-02
1538659586 Katelen Sue Morgan Case Manager/Care Coordinator 1011 Donna Sue Pl, Durant, OK 74701 2018-05-15
1164941035 Nsight for Life LLC Community/Behavioral Health 1313 N 16th, Durant, OK 74701 2017-09-12
1023534666 Damon Dye Physical Therapist 30 W 3rd St, Durant, OK 74701 2017-08-15
1437605250 Casey Worsham Nurse Practitioner 1800 W University, Durant, OK 74701 2016-08-31
1083160857 Denise Adanho Case Manager/Care Coordinator 1218 Stonebrook Circle, Durant, OK 74701 2016-08-31
1962850271 Justi Thompson Case Manager/Care Coordinator 4817 Ciara St, Durant, OK 74701 2016-05-26
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649687823 Okweb LLC Durable Medical Equipment & Medical Supplies 3324 Carriage Point Dr, Durant, OK 74701-2286 2014-07-19
1487088191 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1250 W Main St, Durant, OK 74701-4932 2013-08-29
1811215171 Kelley Medical Equipment and Supply LLC Durable Medical Equipment & Medical Supplies 117 Market Square, Durant, OK 74701 2010-05-12
1881872190 Walgreen Co Durable Medical Equipment & Medical Supplies 302 University Pl, Durant, OK 74701-7110 2008-02-08
1861541583 Shannon Pritchard Durable Medical Equipment & Medical Supplies 425 E Madison St, Durant, MS 39063-3715 2007-01-10
1396817821 Reability Medical Equipment LLC Durable Medical Equipment & Medical Supplies 2912 Enterprise Dr, Suite B1, Durant, OK 74701-1963 2006-11-13
1013098813 Fresh Air Medical Supply Inc Durable Medical Equipment & Medical Supplies 1415 W Main St Ste 100, Durant, OK 74701-4942 2006-10-18
1609967751 Durant Medical Supply, Inc. Durable Medical Equipment & Medical Supplies 1028 Criswell Dr Ste 102, Durant, OK 74701 2006-09-27
1477663797 Miracle Durable Medical Equipment Inc Durable Medical Equipment & Medical Supplies 208 W. Evergreen Street, Durant, OK 74701 2006-08-30
1417974544 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3712 W Main St, Durant, OK 74701-4529 2006-07-16
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Competitor

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City DURANT
Zip Code 74701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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