Provider Demographics
NPI:1497561898
Name:MCARTHUR FAMILY CLINIC LLC
Entity type:Organization
Organization Name:MCARTHUR FAMILY CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN C-NP
Authorized Official - Phone:580-303-5025
Mailing Address - Street 1:103 CLYDE AVE
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-1934
Mailing Address - Country:US
Mailing Address - Phone:580-303-5025
Mailing Address - Fax:580-303-5030
Practice Address - Street 1:103 CLYDE AVE
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-1934
Practice Address - Country:US
Practice Address - Phone:580-303-5025
Practice Address - Fax:580-303-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty