GREAT SALT PLAINS HEALTH CENTER (NPI# 1427593409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427593409 |
| Entity Type | Organization |
| Organization Name | GREAT SALT PLAINS HEALTH CENTER |
| Other Organization Name | GSP HEALTH CANTON |
| Practice Address |
310 E. Walnut Street Canton OK 73724 |
| Mailing Address |
405 S Oklahoma Ave Cherokee OK 73728-2545 |
| Practice Telephone | 5805962800 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | TIM STARKEY (CEO) |
| Authorized Official Telephone | 5805962800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GSP Health Canton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891245544 | Great Salt Plains Health Center | Family Medicine | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 | 2016-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREAT SALT PLAINS HEALTH CENTER, INC. | 405 S Oklahoma Ave, Cherokee, OK 73728-4539 |
| Street Address |
310 E. WALNUT STREET |
| City | CANTON |
| State | OK |
| Zip Code | 73724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023433299 | Beth Holderby Acre | Nurse Practitioner | 310 E. Walnut Street, Canton, OK 73724 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
| 1083197206 | Sandra Denise Winn | Mastectomy Fitter | 64594 N 2514 Road, Canton, OK 73724 | 2018-09-13 |
| 1609289453 | Susan Edsall | Pharmacist | 411 E Oak, Canton, OK 73724 | 2014-06-10 |
| 1396182069 | Rebecca Carol Johnson | Community Health Worker | 311 West Main St, Canton, OK 73724 | 2013-06-04 |
| 1700121498 | Sarah Anne Pierce | Behavioral Analyst | 311 W. Main, Canton, OK 73724 | 2012-12-06 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| 1932394236 | Yco Clinton, Inc. | Community/Behavioral Health | 311 West Main Street, Canton, OK 73724 | 2007-09-10 |
| 1134202187 | Thomas Drug Inc | Pharmacy | 212 W Main, Canton, OK 73724 | 2006-10-23 |
| 1760652788 | Bethany D'ann Armentrout | Counselor | 311 West Main Street, Canton, OK 73724 | 2008-03-05 |
| 1972656205 | Canton Longdale Ems District | Ambulance | #2 Depot Rd, Canton, OK 73724-0039 | 2007-01-19 |
| Find all providers in zip 73724 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619319043 | Richard D Watkins Canton Community Clinic, Inc | Clinic/Center | 3015 Mahoning Rd Ne, Canton, OH 44705-3335 | 2013-07-26 |
| 1013034636 | Mallory Community Health | Clinic/Center | 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 | 2007-03-26 |
| 1063419422 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-06-30 |
| 1811501455 | Georgia Highlands Medical Services, Inc | Clinic/Center | 210 Oakside Ln, Canton, GA 30114-6417 | 2020-09-01 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 1851592034 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 408 9th St Sw, Canton, OH 44707-4714 | 2007-05-29 |
| 1720289903 | Richard D Watkins Canton Community Clinic, Inc. | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2007-05-29 |
| 1801952809 | G A Carmichael Family Health Center Inc | Clinic/Center | 1668 West Peace Street, Canton, MS 39046 | 2006-12-28 |
| 1013964923 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREAT SALT PLAINS HEALTH CENTER.
| 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.