PUSHMATAHA FAMILY MEDICAL CENTER, INC


Address: 109 Stanley Road, Clayton, OK 74536
Phone: 9185694143

PUSHMATAHA FAMILY MEDICAL CENTER, INC (NPI# 1891882676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891882676
Entity Type Organization
Organization Name PUSHMATAHA FAMILY MEDICAL CENTER, INC
Practice Address 109 Stanley Road
Clayton
OK 74536
Mailing Address Po Box 219
Clayton
OK 74536
Practice Telephone 9185694143
Practice Fax Number 9185697343
Mailing Telephone 9185694143
Mailing Fax Number 9185697343
Enumeration Date 2006-10-05
Last Update Date 2011-02-02
Authorized Official Name ANGELA RENEE BATTON (CEO)
Authorized Official Telephone 9185694143
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
OK Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK UNIVERSAL DATA SYSTEM 622460 01
OK 200072150B 05

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations PUSHMATAHA FAMILY MEDICAL CENTER, INC. Po Box 219, Clayton, OK 74536

Office Location

Street Address 109 STANLEY ROAD
City CLAYTON
State OK
Zip Code 74536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417043696 Ernest B Perkins Physician Assistant 109 Stanley Road, Clayton, OK 74536 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609350057 Cody Blaine Powell Chiropractor 1020 Lawson Blvd, Clayton, OK 74536 2018-09-21
1598167421 Aimee Nicole Freeman Social Worker 1020 N Lawson Blvd., Clayton, OK 74536 2014-09-23
1518268762 Curatio Hospice Inc Exclusive Provider Organization 617 North Lawson Street, Clayton, OK 74536 2010-11-04
1326286717 Town of Clayton Ambulance 221 W. Cherokee Street, Clayton, OK 74536 2009-01-23
1073525002 Best Life Rx, LLC Durable Medical Equipment & Medical Supplies 536 N Lawson Blvd, Clayton, OK 74536 2006-08-11
1619941242 Bob H Womack Dentist 109 Stanly Rd, Clayton, OK 74536 2006-02-13
1669021580 Christopher Lynn Smith Nurse Practitioner 1020 Lawson Blvd, Clayton, OK 74536 2019-09-04
1275737314 Clayton Public School Counselor 101 Pine Street, Clayton, OK 74536-0190 2007-06-13
1992306708 Paula Sue Brown Nurse Practitioner 1020 N Lawson Blvd, Clayton, OK 74536-0219 2020-11-06
1467443309 Edwin F Ellis Pediatrics 1020 N Lawson Boulevard, Clayton, OK 74536-0219 2005-10-31
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124525183 Medlink Georgia, Inc Clinic/Center 773 N Main St, Clayton, GA 30525-4257 2018-04-06
1710048053 Southeast Alabama Rural Health Associates Clinic/Center 7 Western Byp, Clayton, AL 36016-2013 2006-12-12
1346299807 Medlink Georgia Inc Clinic/Center 896 Highway 441 S, Clayton, GA 30525-5423 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902404965 Variety Care, Inc. Clinic/Center 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 2020-10-13
1699318550 Community Health Center of Northeast Oklahoma, Inc. Clinic/Center 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 2019-10-23
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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Competitor

Search similar providers

City CLAYTON
Zip Code 74536

Improve Information

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Dataset Information

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.

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