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Icare Center Llc

Icare Center Llc is a health care provider in Harrah, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 21001 Se 29th St, Harrah, OK 73045-6591, US
Practice Location Phone405-682-8383
Practice Location Fax
Legal Business NameICARE CENTER LLC
NPI ?1881190833
Entity TypeOrganization
Enumeration Date ? Mar 30, 2018
Last Update Date ? Mar 30, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Icare Center Llc

SpecialtySpecializationLicenseLicense State
Family Medicine
Clinic/CenterMulti-Specialty
Clinic/CenterUrgent Care

legacy-id-icon Legacy Provider IDs of Icare Center Llc

Provider IdIssuer StateIssuer TypeIssuer
=========OklahomaOtherTIN

official-icon Authorized Official of Icare Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Icare Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Senthil K Raju (MD)
Authorized Official Title/PositionPROVIDER
Authorized Official Phone Number405-682-8383