Organization

Medwise Llc

Urgent Care Clinic/Center in Coweta, OK(View on Map)

Legal Business Name

Medwise Llc

NPI Number

1629604434

NPI Type

Organization

Enumeration Date

03/13/2020

Specialties

(Taxonomies)

Code

261QU0200X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

12902 E 51ST ST
11495 S. STATE HIGHWAY 51

City

Tulsa
Coweta

State

OK
OK

Postal Code

74134-6712
74429

Country

US
US

Telephone Number

(918) 605-6582
(225) 936-9186

Authorized Official

Name

Dennis Blackstad

Title or Position

PRESIDENT

Telephone Number

(918) 605-6582

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

OK

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
OK

Affiliation

N

Endpoint Location

11495 S. State Highway 51Coweta, OK74429US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2024

Provider Address

Other Urgent Care Clinic/Center in Coweta, Oklahoma:

Organization

Coweta Medical Group,p.L.L.C.

Coweta, OK

Specialties: Primary Care Clinic/Center (Primary)Urgent Care Clinic/Center