Olton Clinic

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

241316 Issued in TX

Legal business name

OLTON CLINIC

Practice address

524 8TH Street
Olton, TX 79064-0674

Phone

3

Fax

(806) 285-3312

NPI assigned

May 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Denise A Hasha

Title

Emt -I

Phone

3

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043277262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 8TH STREET",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "79064",
            "telephone_number": "3",
            "fax_number": "806-285-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 8TH STREET",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640674",
            "telephone_number": "3",
            "fax_number": "806-285-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLTON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASHA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMT -I",
        "authorized_official_telephone_number": "3",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "241316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mims Dougherty, LM, CPM
• Kimberly Lorenz PLLC
• Lamb Healthcare Center (Olton Rural Health Clinic)
• Christa L Moyer, NP-C
• Reagan Moyer, SLP
• Olton Family Healthcare
• Olton Isd
• Olton Pharmacy
• Olton Volunteer Ambulance Association Inc (Olton EMS)
• Pay and Save Inc (Food King Pharmacy Olton)

• Registered Nurse in Olton, TX
• Providers in Olton, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.