FAMILY CLINIC OF WELEETKA (NPI# 1699953687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699953687 |
| Entity Type | Organization |
| Organization Name | FAMILY CLINIC OF WELEETKA |
| Other Organization Name | FAMILY CLINIC OF WELEETKA |
| Practice Address |
315 W. 9th Weleetka OK 74880-0337 |
| Mailing Address |
315 W. 9th, Box 337 Weleetka OK 74880-0337 |
| Practice Telephone | 4057862248 |
| Practice Fax Number | 4057862006 |
| Mailing Telephone | 4057862248 |
| Mailing Fax Number | 4057862006 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | MS. JAN PARKER (MANAGER) |
| Authorized Official Telephone | 4057862248 |
| Authorized Official Credential | PHYSICIAN ASSIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
373819 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100135680A | 05 |
| Other Name | Type Code |
|---|---|
| Family Clinic of Weleetka | Other Name - Individual/Organization |
| Street Address |
315 W. 9TH |
| City | WELEETKA |
| State | OK |
| Zip Code | 74880-0337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720124472 | Janet Y Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2007-01-29 |
| 1952966939 | Patrick W Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367546 | Vester Joe Williams II | Emergency Medical Technician, Paramedic | 101 E 9th, Weleetka, OK 74880 | 2020-05-11 |
| 1710519004 | Kimber Marie Sanderson | Registered Nurse | 300 West 9th Street, Weleetka, OK 74880 | 2020-02-05 |
| 1588767867 | Guy W Sheneman | Pharmacist | 311 West 9th Street, Weleetka, OK 74880 | 2006-09-05 |
| 1629005137 | Williamson Care Centers,inc. | Nursing Facility/Intermediate Care Facility | 300 W 9, Weleetka, OK 74880 | 2006-06-28 |
| 1790321339 | Robin Kay Woods | Nursing Care | 302 E. 6th Street, Weleetka, OK 74880 | 2019-11-19 |
| 1518441096 | Adrianne Elizabeth Collett | Community Health Worker | 302 E 6th Street, Weleetka, OK 74880 | 2018-09-20 |
| 1740764422 | Amber Lynn Doerr | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2018-09-19 |
| 1477066918 | Julie Kay Shearon | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2017-11-07 |
| 1124574496 | Kristin Sheneman | Pharmacist | 309 W. 9th Street, Weleetka, OK 74880 | 2016-08-28 |
| 1467868612 | Gallen Sheneman | Pharmacist | 311 West 9th Street, Weleetka, OK 74880 | 2014-07-09 |
| Find all providers in zip 74880 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.