NPIMap

Organization Active NPI

Newkirk Rural Health Clinic

  • Family Medicine Physician
  • Newkirk, OK
National Provider Identifier
1073538666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3915 Issued in OK
Legal business name
NEWKIRK RURAL HEALTH CLINIC
Practice address
601A W South St
Newkirk, OK 74647-5525
Phone
(580) 362-2555
Fax
(580) 362-2091
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy K Hicks, D.O.
Title
Owner/Managing Employee
Phone
(580) 362-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3915 OK Primary

Addresses

Primary practice location

601A W South St
Newkirk, OK 74647-5525

Mailing address

601A W South St
Newkirk, OK 74647-5525
Phone (580) 362-2555

National Provider Directory

National Provider Directory

Locations

601 W South St
Newkirk, OK 74647
Phone (580) 362-2555

601A W South St
Newkirk, OK 74647
Phone (580) 362-2555

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073538666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601A W SOUTH ST",
            "city": "NEWKIRK",
            "state": "OK",
            "postal_code": "746475525",
            "telephone_number": "580-362-2555",
            "fax_number": "580-362-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A W SOUTH ST",
            "city": "NEWKIRK",
            "state": "OK",
            "postal_code": "746475525",
            "telephone_number": "580-362-2555",
            "fax_number": "580-362-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWKIRK RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "580-362-2555",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newkirk, OK

Sources for this page

  • 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.