ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. (NPI# 1568976991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568976991 |
| Entity Type | Organization |
| Organization Name | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| Other Organization Name | MUSKOGEE HEALTH CENTER WEST |
| Practice Address |
201 North 32nd Street Muskogee OK 74401-2104 |
| Mailing Address |
Po Box 334 Porter OK 74454-0334 |
| Practice Telephone | 9189122333 |
| Mailing Telephone | 9184830111 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. MARCUS DEON JOHNSON (QI) |
| Authorized Official Telephone | 9184830111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OK | Ambulatory Health Care Facilities | |
| Y | 207Q00000X | Family Medicine | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Muskogee Health Center West | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598022899 | Arkansas Verdigris Valley Health Centers,inc. | Family Medicine | 619 N Main St, Muskogee, OK 74401-4431 | 2012-04-12 |
| Street Address |
201 NORTH 32ND STREET |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474996 | University Heights Medical Clinic | Family Medicine | 2901 Azalea Park Dr, Muskogee, OK 74401-2283 | 2019-12-13 |
| 1730651597 | Mednow Primary Care Center LLC | Family Medicine | 550 S Shawnee St, Muskogee, OK 74401-4144 | 2018-12-18 |
| 1740678622 | Urgent Care of Muskogee Pllc | Family Medicine | 384 S 33rd St Ste D, Muskogee, OK 74401-5065 | 2014-12-31 |
| 1255699435 | Peter Fast | Family Medicine | 2900 N Main St Ste 101, Muskogee, OK 74401-4078 | 2012-04-25 |
| 1528396546 | Jimmie Sue Hill | Family Medicine | 2001 E 58th St N, Muskogee, OK 74403-4503 | 2009-12-02 |
| 1770602526 | Gary W Lambert, D. O. | Family Medicine | 620 East Okmulgee, Muskogee, OK 74403 | 2007-03-29 |
| 1013031632 | Michael W Hammond, M.d. | Family Medicine | 3501 W Broadway St, Muskogee, OK 74401-2138 | 2007-03-19 |
| 1164561270 | Patrice Diane Pace | Family Medicine | 3300 Chandler Rd Ste 107, Muskogee, OK 74403-4909 | 2007-02-05 |
| 1104996834 | B Frank Shaw | Family Medicine | 2901 Azalea Park Drive, Muskogee, OK 74401 | 2006-11-09 |
| 1861597197 | Diane D. Johnston | Family Medicine | 2822 Irving St, Muskogee, OK 74403-3933 | 2006-09-13 |
| Find all providers in MUSKOGEE | ||||
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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.