Organization
UNITY PHYSICIAN GROUP
Active
Parent organization
COMMUNITY HEALTH PARTNERS,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH PARTNERS,INC
Authorized official
CHARLES E SKILLINGS (CEO)
(405) 878-8110
Entity
Organization
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20568
OK
207RC0000X
Cardiovascular Disease Physician
16573
OK
208600000X
Surgery Physician
26527
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200338560A
—
OK
Enumeration date
09/25/2012
Last updated
09/25/2012
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