GTZ AND ENK (NPI# 1265887616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265887616 |
Entity Type | Organization |
Organization Name | GTZ AND ENK |
Other Organization Name | CLINICA DE SALUD Y BIENESTAR HISPANO |
Practice Address |
2706 N Broadway St Poteau OK 74953-5402 |
Practice Telephone | 9186477100 |
Practice Fax Number | 9186477101 |
Mailing Telephone | 9186477100 |
Mailing Fax Number | 9186477101 |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |
Authorized Official Name | ELIZABETH LOUISE BANDA (VICE PRESIDENT) |
Authorized Official Telephone | 9186477100 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200597420A | 05 |
Other Name | Type Code |
---|---|
CLINICA DE SALUD Y BIENESTAR HISPANO | Doing Business As Name - Organization |
Street Address |
2706 N BROADWAY ST |
City | POTEAU |
State | OK |
Zip Code | 74953-5402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750720140 | Sarah Nicole Keen | Counselor | 2706 N Broadway St, Poteau, OK 74953-5402 | 2013-06-18 |
1194151142 | Jonathan Blake White | Counselor | 2706 N Broadway St, Poteau, OK 74953-5402 | 2013-09-23 |
1740615319 | Sherry Melinda Garner | Counselor | 2706 N Broadway St, Poteau, OK 74953-5402 | 2013-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
Find all providers in zip 74953 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659892115 | Henri Bienvenido Ramirez Mendez | Clinic/Center | 500 S Broadway St Ste B, Poteau, OK 74953-3819 | 2017-07-05 |
1538566286 | Hometown Drug Company LLC | Clinic/Center | 307 N Broadway St, Poteau, OK 74953-3355 | 2014-11-24 |
1710953799 | Choctaw Nation of Oklahoma | Clinic/Center | 109 Kerr Ave, Poteau, OK 74953-5231 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.