URGENT CARE WALK IN CLINIC LLC (NPI# 1851781975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851781975 |
| Entity Type | Organization |
| Organization Name | URGENT CARE WALK IN CLINIC LLC |
| Practice Address |
702 Bryan Dr Suite 200 Durant OK 74701-7030 |
| Practice Telephone | 5809244707 |
| Practice Fax Number | 5809246001 |
| Mailing Telephone | 5809244707 |
| Mailing Fax Number | 5809246001 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | MR. DARRELL L LEDBETTER (PRACTICE MANAGER) |
| Authorized Official Telephone | 5809244707 |
| Authorized Official Credential | CPM CMPCS CHM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
702 BRYAN DR SUITE 200 |
| City | DURANT |
| State | OK |
| Zip Code | 74701-7030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316900095 | Choctaw Nation of Oklahoma-principal Chief | Hospice Care, Community Based | 702 Bryan Dr, Suite 200, Durant, OK 74701-7000 | 2006-04-11 |
| 1386279024 | Tasha Cummins | Nurse Practitioner | 702 Bryan Dr, Durant, OK 74701-7030 | 2020-03-03 |
| 1467872283 | Heather Marcum | Registered Nurse | 702 Bryan Dr, Durant, OK 74701-7030 | 2014-04-19 |
| 1376886481 | Osu Center for Health Sciences | Clinic/Center | 702 Bryan Dr, Suite 100, Durant, OK 74701-7030 | 2013-03-27 |
| 1225296361 | Jaiswal Clinic Pllc | Internal Medicine | 702 Bryan Dr, Suite 100, Durant, OK 74701-7031 | 2008-05-27 |
| 1386698728 | Deepak S. Jaiswal | Internal Medicine | 702 Bryan Dr, Suite 100, Durant, OK 74701-7000 | 2006-05-20 |
| 1083667075 | Durant Hma Inc. | Internal Medicine | 702 Bryan Dr, Suite 100, Durant, OK 74701-7000 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672880 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2015-02-26 |
| 1609295898 | Durant Hma Physician Management LLC | Clinic/Center | 1807 W University Blvd, Durant, OK 74701-3011 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426737 | Creekside Urgent Care LLC | Clinic/Center | 1101 Nw 178th St Ste B, Edmond, OK 73012-4281 | 2020-04-22 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1831722982 | Sooner Urgent Care LLC | Clinic/Center | 2100 W Lindsey St Ste B, Norman, OK 73069-4108 | 2020-02-18 |
| 1720639263 | Nicholette Brosseau | Clinic/Center | 1520 Sw 1st St, Wagoner, OK 74467-4839 | 2019-09-25 |
| 1548819477 | Christi Lea Vick | Clinic/Center | 704 Azalea Hill Dr, Yukon, OK 73099-6504 | 2019-09-04 |
| 1447805544 | Revive Medical Urgent Care LLC | Clinic/Center | 4215 N Classen Blvd Ste 100, Oklahoma City, OK 73118-2426 | 2019-08-06 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1982161386 | On Demand Urgent Care, LLC | Clinic/Center | 11426 N 134th E Ave, Owasso, OK 74055-5755 | 2019-02-22 |
| 1720554231 | Gdn LLC | Clinic/Center | 1315 Chisholm Trail Pkwy, Duncan, OK 73533-1533 | 2018-10-23 |
| 1699262576 | Immediate Care of Oklahoma, LLC | Clinic/Center | 4500 Tinker Rd, Oklahoma City, OK 73135-4614 | 2018-04-17 |
| 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.