Organization
CROUCH FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN LEE CROUCH (BUSINESS MANAGER)
(405) 258-9955
Entity
Organization
Contact information
Practice address
806 MANVEL AVE, CHANDLER, OK 74834-3858
(405) 258-9955
(405) 258-9930
Mailing address
806 MANVEL AVE, CHANDLER, OK 74834-3858
(405) 258-9955
(405) 258-9930
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4290
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215222666
NPI FOR JANENA MILBURN, APRN, CNP, FNP-C
—
01
—
1497890115
NPI FOR JASON CROUCH, D.O. (INDIVIDUAL)
—
01
—
1609093228
NPI FOR CROUCH FAMILY MEDICINE (ORGANIZATION)
—
01
—
1618242
COVENTRY HEALTH CARE PROVIDER ID #
—
01
—
200116510A
MEDICAID # FOR CROUCH FAMILY MEDICINE PC
OK
05
—
200116510A
—
OK
01
—
200116520A
MEDICAID # FOR JASON CROUCH, D.O.
OK
05
—
200116520A
—
OK
01
—
243722101
MEDICARE # FOR JASON CROUCH, D.O.
—
01
—
300522328
MEDICARE # FOR CROUCH FAMILY MEDICINE PC
—
01
—
37D1067992
CLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB)
—
01
—
4474235
CIGNA HEALTHCARE PROVIDER #
—
01
—
6147210001
PTAN
OK
01
—
6147210001
DME PTAN FOR CROUCH FAMILY MEDICINE
—
01
—
9060050
AETNA PIN
—
01
—
DG9878
RAILROAD MEDICARE PT. B GROUP NUMBER
—
01
—
OKA104243
MEDICARE PTAN FOR JANENA MILBURN, APRN, CNP, FNP-C
—
01
—
P00465778
RAILROAD MEDICARE PT. B PTAN
—
Enumeration date
04/18/2007
Last updated
03/04/2013
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