OBELENE CLARK (NPI# 1730393620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730393620 |
Entity Type | Individual |
Full Name | OBELENE CLARK |
Practice Address |
324 S 4th St Okemah OK 74859-3848 |
Practice Telephone | 9186231634 |
Mailing Telephone | 9186231634 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 177F00000X | Lodging | Other Service Providers |
Street Address |
324 S 4TH ST |
City | OKEMAH |
State | OK |
Zip Code | 74859-3848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932321940 | Michelle Renee Scott | Social Worker | 209 West Broadway, Okemah, OK 74859 | 2007-05-02 |
1790905552 | Deirdre Ann Rieman | Speech-Language Pathologist | 600 Frontage Rd, Okemah, OK 74859 | 2007-04-26 |
1528281060 | Creoks Mental Health | Case Management | 209 W. Broadway, Okemah, OK 74859 | 2007-04-11 |
1588748776 | Brett Alan Wessel | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-24 |
1982796173 | James L. Lambert | Optometrist | 309 North 14th, Okemah, OK 74859 | 2006-09-28 |
1700890530 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1800 E Coplin St, Okemah, OK 74859 | 2006-07-28 |
1184664898 | Peak Medical Oklahoma No. 13, Inc. | Skilled Nursing Facility | 600 West Frontage Rd, Okemah, OK 74859 | 2006-06-08 |
1366593923 | Creek Nation Hospital & Clinics | Clinic/Center | 1800 E Coplin St, Okemah, OK 74859 | 2007-01-12 |
1003990185 | Okemah Chiropractic Clinic Inc PC | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-25 |
1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
Find all providers in zip 74859 |
Taxonomy Code | 177F00000X |
Grouping | Other Service Providers |
Classification | Lodging |
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386277317 | Shri Krishnapriya Hospitality | Lodging | 120 S Lincoln Blvd, Oklahoma City, OK 73104-7011 | 2020-02-18 |
1326203993 | Reechia Christine Collins | Lodging | 604 S Hillcrest Court Ln, Mustang, OK 73064-5530 | 2008-07-23 |
1316142763 | Nickolate Lorenzen | Lodging | 1719 Quail Creek Dr, Norman, OK 73026-0943 | 2007-06-17 |
1932304516 | Nettie Louise Teaque | Lodging | Rt 1 Box 856, Sperry, OK 74073 | 2007-06-15 |
1457554966 | Linda Carol Yarbrough | Lodging | 5498 W Chambers Rd, Mcalester, OK 74501-1767 | 2007-06-11 |
1326249590 | Shirley Ann Rush | Lodging | 7819 Marilyn Lane, Tulsa, OK 74131-3265 | 2007-05-29 |
1093926149 | Specialized Foster Home | Lodging | Rr 1 Box 112a, Sallisaw, OK 74955-9737 | 2007-05-24 |
1134335771 | Noel Stubbs | Lodging | Rr 1 Box 239, Gore, OK 74435-9510 | 2007-05-14 |
1982825758 | Regina Baker | Lodging | 205 W Cedar, Coalgate, OK 74538 | 2007-05-01 |
1487776845 | Jeanne Brady | Lodging | 1517 E Oklahoma Ave, Enid, OK 73701-6363 | 2007-04-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on OBELENE CLARK.
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.