Organization
GRAND PRIMARY CARE CLINICS
Active
Parent organization
KIMBACO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBACO, LLC
Authorized official
MR. JEFF J HUNTER DPH (OWNER)
(405) 418-2929
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE, SUITE 270, OKLAHOMA CITY, OK 73112-2121
(405) 605-0108
(405) 463-0120
Mailing address
5401 N PORTLAND AVE, SUITE 270, OKLAHOMA CITY, OK 73112-2121
(405) 605-0108
(405) 463-0120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
09/17/2016
Last updated
03/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us