CLINICO LLC (NPI# 1497766000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497766000 |
| Entity Type | Organization |
| Organization Name | CLINICO LLC |
| Other Organization Name | CLINICO RURAL HEALTH CLINIC |
| Practice Address |
103 E Main Beggs OK 74421-0478 |
| Mailing Address |
Po Box 478 Beggs OK 74421-0478 |
| Practice Telephone | 9182677000 |
| Practice Fax Number | 9182677077 |
| Mailing Telephone | 9182677000 |
| Mailing Fax Number | 9182677077 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-01-31 |
| Authorized Official Name | MRS. KERRI LEE ELLIS (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 9182677000 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100708410B | 05 |
| Other Name | Type Code |
|---|---|
| Clinico Rural Health Clinic | Doing Business As Name - Organization |
| Street Address |
103 E MAIN |
| City | BEGGS |
| State | OK |
| Zip Code | 74421-0478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952497794 | Kenneth Clayton Kern | Family Medicine | 103 E Main, Beggs, OK 74421-0478 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386978740 | Katherine Rene Dossey | Pharmacist | 8054 Hwy 16 #100, Beggs, OK 74421 | 2009-10-01 |
| 1003934076 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 301 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1568580538 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 302 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1366465247 | Servant Living Center-beggs, LLC | Intermediate Care Facility, Mentally Retarded | 306 E 7th St, Beggs, OK 74421 | 2006-07-25 |
| 1588299499 | Natasha D Mcfalls | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2020-03-11 |
| 1447409206 | Kerri Lee Ellis | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2008-09-16 |
| 1194843169 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 303 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1912025982 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 304 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1750821658 | Monica Ann Kirkendoll | Nurse Practitioner | 103 E Main St, Beggs, OK 74421-0478 | 2017-02-27 |
| 1376075051 | Servant Living Center - Beggs, LLC | Custodial Care Facility | 511 N Chippewa, Beggs, OK 74421-2053 | 2017-03-31 |
| Find all providers in zip 74421 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777188 | T. Jarel Brown Aprn Cnp Pllc | Clinical Nurse Specialist | 210 West Robert St, Poteau, OK 74953-2942 | 2018-01-04 |
| 1205206109 | Dawn Brown | Clinical Nurse Specialist | 2101 N 14th St Ste 114, Ponca City, OK 74601-1807 | 2015-10-05 |
| 1750683652 | Deborah Fiegel | Clinical Nurse Specialist | 3905 S Highway 97, Sand Springs, OK 74063-3829 | 2010-11-27 |
| 1811187800 | First Choice Wellness Center LLC | Clinical Nurse Specialist | 9 N Main, Kingston, OK 73439-7343 | 2007-07-26 |
| 1477093557 | Lauren Roberts | Clinical Nurse Specialist | 403 S Indian Rd, Idabel, OK 74745-5458 | 2017-03-08 |
| 1952757254 | Edward C Wemmerus | Clinical Nurse Specialist | 104 Wall St, Poteau, OK 74953-4405 | 2016-05-05 |
| 1922406859 | Jennifer Russell | Clinical Nurse Specialist | 12777 N Rockwell Ave, Oklahoma City, OK 73142-2710 | 2014-12-09 |
| 1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
| 1588097836 | Tabetha Jarel Brown | Clinical Nurse Specialist | 210 W Robert St, Poteau, OK 74953-2942 | 2013-08-09 |
| 1083931596 | Micki Richardson | Clinical Nurse Specialist | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2010-04-23 |
| 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.