# PHP OK PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHP ARDMORE
- **Other names:** Primary Health Partners
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629796974
- **Legal business name:** PHP ARDMORE
- **Authorized official:** ANGIE MCKINNEY (OPERATIONS MANAGER)
- **Authorized official phone:** (405) 577-6571

## Contact information

- **Practice address:** 1111 WALNUT DR, ARDMORE, OK 73401-2354
- **Practice address phone:** (580) 223-9008
- **Practice address fax:** (580) 223-5051
- **Mailing address:** 1820 COMMONS CIR STE B, YUKON, OK 73099-9518
- **Mailing address phone:** (405) 265-2778
- **Mailing address fax:** (405) 494-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 03/13/2024