BENNETT CLINIC, PC (NPI# 1770886426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770886426 |
| Entity Type | Organization |
| Organization Name | BENNETT CLINIC, PC |
| Practice Address |
623 Avenue C Beaver OK 73932-3126 |
| Mailing Address |
Po Box 964 Beaver OK 73932-0964 |
| Practice Telephone | 5806252273 |
| Practice Fax Number | 5806252274 |
| Mailing Telephone | 5806252273 |
| Mailing Fax Number | 5806252274 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MRS. ALLISON B. BENNETT (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 5806252273 |
| Authorized Official Credential | A.R.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R0071654 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200317900A | 05 |
| Street Address |
623 AVENUE C |
| City | BEAVER |
| State | OK |
| Zip Code | 73932-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811950348 | High Plains Medical Specialists LLC | Internal Medicine | 623 Avenue C, Beaver, OK 73932 | 2006-04-07 |
| 1689124497 | Woodward Health System LLC | Clinic/Center | 623 Avenue C, Beaver, OK 73932-3126 | 2016-10-05 |
| 1144779315 | Woodward Health System LLC | Family Medicine | 623 Avenue C, Beaver, OK 73932-3126 | 2016-09-28 |
| 1922125327 | Allison Bennett | Nurse Practitioner | 623 Avenue C, Beaver, OK 73932-3126 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629357116 | Trey Dean Carlisle | Optometrist | 712 Ave. A, Beaver, OK 73932 | 2011-08-15 |
| 1013195684 | Beaver County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 212 East 8th Street, Beaver, OK 73932 | 2008-02-06 |
| 1699756403 | Beaver County Nursing Home | Nursing Facility/Intermediate Care Facility | 200 East 8th Street, Beaver, OK 73932 | 2005-11-09 |
| 1164502134 | Donald Ray Wilson | Pharmacist | 212 E 8th St, Beaver, OK 73932 | 2006-10-16 |
| 1609078724 | James Arney | Pharmacist | 212 E 8th Street, Beaver, OK 73932-0640 | 2007-06-01 |
| 1700969615 | Francesca Chinwe Osegbue-obasi | Family Medicine | 718 Ave A, Beaver, OK 73932-0640 | 2006-10-23 |
| 1285881557 | Beaver County Memorial Hospital | Ambulance | 212 East 8th Street, Beaver, OK 73932-0640 | 2008-08-19 |
| 1356529903 | Beaver County Memorial Hospital | Medicare Defined Swing Bed Unit | 212 East 8th Street, Beaver, OK 73932-0640 | 2008-02-06 |
| 1407130313 | Carlisle Vision Clinic Pllc | Optometrist | 712 Avenue A, Beaver, OK 73932-3101 | 2011-10-11 |
| 1336119247 | Gary Mathews | Family Medicine | 718 Avenue A, Beaver, OK 73932-3101 | 2006-01-24 |
| Find all providers in zip 73932 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669898698 | Fci Beckley | Clinic/Center | 1600 Industrial Park Road, Beaver, WV 25813 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759519 | Arabella Medical Spa LLC | Clinic/Center | 701 S Mustang Rd, Yukon, OK 73099-6778 | 2020-01-13 |
| 1245763739 | Essence Massage | Clinic/Center | 782 E Pine St, Tulsa, OK 74106-5925 | 2017-04-11 |
| 1033521430 | The Back Stop LLC | Clinic/Center | 373 S Yukon Pkwy Ste C, Yukon, OK 73099-4597 | 2014-05-20 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1972863041 | Fgg LLC | Clinic/Center | 755 Jenkins Ave, Norman, OK 73069-4951 | 2012-05-23 |
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1922313972 | Clear Focus Cv Ultrasound Services | Clinic/Center | 502 Oak, Ardmore, OK 73401-3830 | 2010-08-15 |
| 1215172804 | Med-labs LLC | Clinic/Center | 11014 E 51st St, Tulsa, OK 74146-5820 | 2008-12-10 |
| 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.