CMS-1500 Box 24J / 33a • NPI
1578932299
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QU0200X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
5700 SE 74TH ST STE 100, OKLAHOMA CITY, OK, 73135-1087
✓ 9-Digit EDI 837 ZIP+4 (73135-1087)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1578932299 (IMMEDIATE CARE OF OKLAHOMA L.L.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1578932299 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | IMMEDIATE CARE OF OKLAHOMA L.L.C. |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QU0200X (Clinic/Center, Urgent Care) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 5700 SE 74TH ST STE 100, OKLAHOMA CITY, OK, 73135-1087 |
| Practice Telephone / Fax | Tel: (405) 600-6869 | Fax: (405) 600-6978 |
| Administrative Mailing Address | 5700 SE 74TH, OKC, OK, 73135-1106 |
| Enumeration & Last Sync | Enumerated: 2015-09-23 | CMS Record Updated: 2024-06-10 |
| Authorized Official | KEVIN PENWELL (COM, President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QU0200X)
What Does Taxonomy Code 261QU0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QU0200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (IMMEDIATE CARE OF OKLAHOMA L.L.C.)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QU0200X — Clinic/Center, Urgent CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: OK | License: 4106 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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