NPIMap

Organization Active NPI

Usphs/IHS/Wewoka Indian Health Clinic

  • Federal Public Health Clinic/Center
  • Wewoka, OK
National Provider Identifier
1073968855
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
License
14343 Issued in OK
Legal business name
USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC
Practice address
36640 Hwy 270
Wewoka, OK 74884-1475
Phone
(405) 257-7361
Fax
(405) 257-3344
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Dr. Shannon Michelle Lowe, PHARMD
Title
Assistant Director of Pharmacy
Phone
(405) 257-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X 14343 OK Primary

Addresses

Primary practice location

36640 Hwy 270
Wewoka, OK 74884-1475

Mailing address

PO Box 1475
Wewoka, OK 74884-1475
Phone (405) 257-7361

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Indian HLTH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1073968855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841475",
            "telephone_number": "405-257-7361",
            "fax_number": "405-257-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36640 HWY 270",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841475",
            "telephone_number": "405-257-7361",
            "fax_number": "405-257-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "405-257-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "OK",
            "license": "14343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.