OrganizationActive
Immediate Care of Oklahoma, LLC
NPI 1104165331 · Urgent Care Clinic/Center · Edmond, OK
Provider details
- NPI number
- 1104165331
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Penwell, Com(405) 600-6869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1265 E 33rd St
Edmond, OK 73013-6307
Phone: (405) 513-6300
Fax: (405) 513-6301
Street-level locationGet directions
Mailing address
Po Box 721776
Norman, OK 73070-8360
Registry dates
- Enumerated
- 2013-02-07
- Last updated
- 2013-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.