CAH ACQUISITION COMPANY 12 LLC (NPI# 1598039620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598039620 |
| Entity Type | Organization |
| Organization Name | CAH ACQUISITION COMPANY 12 LLC |
| Other Organization Name | THE PAWNEE CLINIC |
| Practice Address |
535 6th St Pawnee OK 74058 |
| Mailing Address |
40 Hospital Rd Fairfax OK 74637-5084 |
| Practice Telephone | 9187623942 |
| Practice Fax Number | 9187624675 |
| Mailing Telephone | 9186423291 |
| Mailing Fax Number | 9186423694 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | TINA J STEELE (CEO) |
| Authorized Official Telephone | 9186423291 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAH ACQUISITION COMPANY 12 LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
2274 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200311270E | 05 |
| Other Name | Type Code |
|---|---|
| THE PAWNEE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| 1134451396 | Cah Acquisition Company 12 LLC | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637 | 2010-02-12 |
| Street Address |
535 6TH ST |
| City | PAWNEE |
| State | OK |
| Zip Code | 74058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344042 | Gene H Evans | Family Medicine | 535 6th St, Pawnee, OK 74058-2542 | 2006-02-08 |
| 1982233656 | Rural Wellness Fairfax Inc | Clinic/Center | 535 6th St, Pawnee, OK 74058-2542 | 2020-04-05 |
| 1508415092 | Angela Annette Colborn | Nurse Practitioner | 535 6th St, Pawnee, OK 74058-2542 | 2019-09-06 |
| 1407356827 | Crystal Dawn Mccarty | Nurse Practitioner | 535 6th St, Pawnee, OK 74058-2542 | 2018-02-13 |
| 1649587023 | Sandra Sue Smith | Physician Assistant | 535 6th St, Pawnee, OK 74058-2542 | 2010-09-08 |
| 1558334946 | The Pawnee Clinic Inc | Family Medicine | 535 6th St, Pawnee, OK 74058-2542 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316214430 | Tonya L Houston | Nurse Practitioner | Pawnee Indian Health Center, 1201 Heritage Cir, Pawnee, OK 74058 | 2011-11-17 |
| 1659662153 | Christie Factor | Counselor | 540 Illinois, Pawnee, OK 74058 | 2011-05-02 |
| 1366476368 | Henry J Kaehler Jr Dds PC | Clinic/Center | 401 Forest St, Pawnee, OK 74058 | 2006-07-10 |
| 1003892621 | Brady Gene Englestead | Pediatrics | 1201 Heritage Circle, Pawnee, OK 74058 | 2005-12-15 |
| 1639453665 | Creoks Mental Health Services | Community/Behavioral Health | 540 Illinois St, Pawnee, OK 74058 | 2011-10-10 |
| 1659473080 | Henry John Kaehler Jr. | Dentist | 401 Forest St, Pawnee, OK 74058 | 2006-09-05 |
| 1578503611 | William Lester Carruth | Dentist | 481 Agency Road, Pawnee, OK 74058-0130 | 2006-06-07 |
| 1821275744 | Patsy Ann Cooper | Counselor | 540 Illinois St, Pawnee, OK 74058-2036 | 2008-01-22 |
| 1225158314 | Cockrell Eyecare Center | Optometrist | 534 Illinois St, Pawnee, OK 74058-2036 | 2007-03-30 |
| 1427192541 | Boss Medical, LLC | Durable Medical Equipment & Medical Supplies | 524 Illinois St, Pawnee, OK 74058-2036 | 2007-02-20 |
| Find all providers in zip 74058 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943114 | Stillwater Medical Center Authority | Clinic/Center | 300 Boulder St, Pawnee, OK 74058-3801 | 2020-08-20 |
| 1982233656 | Rural Wellness Fairfax Inc | Clinic/Center | 535 6th St, Pawnee, OK 74058-2542 | 2020-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245744 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 310 2nd Ave Sw Stes 101, 102, 103, 104, 106a, 106b, 107a, 107b, 203, 207 & 208, Miami, OK 74354-6743 | 2020-11-03 |
| 1275133993 | Integris Grove Hospital | Clinic/Center | 216 S 7th St Ste 1, Vinita, OK 74301-3720 | 2020-10-30 |
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1699385278 | Verdigris Valley Family Medicine LLC | Clinic/Center | 25965 S Highway 66 Ste B, Claremore, OK 74019-2468 | 2020-08-07 |
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1275161457 | Drumright Community Hospital LLC | Clinic/Center | 612 W Bypass, Drumright, OK 74030-5957 | 2020-04-01 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 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.