Organization
DESTINY URGENT AND PRIMARY CARE CLINIC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST KAARA MAINA FNP (OWNER/PROVIDER)
(417) 317-3388
Entity
Organization
Contact information
Practice address
1818 N HIGHWAY 66 STE B, CATOOSA, OK 74015-3052
(417) 317-3388
Mailing address
1000 W ELMIRA ST, BROKEN ARROW, OK 74012-0872
(417) 317-3388
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740751445
NPI#
OK
Enumeration date
04/05/2021
Last updated
04/22/2021
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