STIGLER HEALTH AND WELLNESS CENTER, INC SEQUOYAH COUNTY (NPI# 1619308863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619308863 |
Entity Type | Organization |
Organization Name | STIGLER HEALTH AND WELLNESS CENTER, INC SEQUOYAH COUNTY |
Practice Address |
1630 S Kerr Blvd Sallisaw OK 74955-7240 |
Mailing Address |
Po Box 179 Stigler OK 74462-0179 |
Practice Telephone | 9187902653 |
Practice Fax Number | 9187902657 |
Mailing Telephone | 9189673333 |
Mailing Fax Number | 9189674582 |
Enumeration Date | 2013-12-12 |
Last Update Date | 2013-12-12 |
Authorized Official Name | TERESA N HUGGINS (CEO) |
Authorized Official Telephone | 9187903653 |
Is Organization Subpart | Y |
Parent Organization Name | STIGLER HEALTH AND WELLNESS CENTER, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
1630 S KERR BLVD |
City | SALLISAW |
State | OK |
Zip Code | 74955-7240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053385203 | William Kerry Smith | Family Medicine | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2006-02-15 |
1285240135 | Seth Lattimore | Case Manager/Care Coordinator | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2020-09-16 |
1255974564 | Emily L Harrah | Nurse Practitioner | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2019-10-21 |
1255831657 | Karen Christine Smith | Nurse Practitioner | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2018-02-13 |
1528424306 | Christina Louise Hamilton | Nurse Practitioner | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2016-01-08 |
1407223605 | Julie Jarvis | Registered Nurse | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2015-08-24 |
1194118000 | Julie A Kidd | Nurse Practitioner | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2015-03-17 |
1902194707 | Deborah A Gale | Nurse Practitioner | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2011-07-13 |
1588963698 | Brittanie Mills | Counselor | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2011-03-16 |
1619273877 | Chasity Jane Butler | Physician Assistant | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2011-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
Find all providers in zip 74955 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.