Organization
SIMPLE CLINIC, LLC
Active
Other names
Today Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT CAUTHEN (CLINICAL DIRECTOR)
(405) 740-1968
Entity
Organization
Contact information
Practice address
415 SW 59TH ST, OKLAHOMA CITY, OK 73109-8303
(405) 631-0611
(405) 631-0811
Mailing address
415 SW 59TH ST, OKLAHOMA CITY, OK 73109-8303
(405) 631-0611
(405) 631-0811
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
25197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200252410A
—
OK
Enumeration date
07/23/2009
Last updated
03/23/2010
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