Organization Active NPI

Stigler Health and Wellness Center, Inc

  • Clinical Medical Laboratory
  • Stigler, OK
National Provider Identifier
1083922207
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D1039335 Issued in OK
Legal business name
STIGLER HEALTH AND WELLNESS CENTER, INC
Practice address
1505 E Main St
Stigler, OK 74462-2913
Phone
(918) 967-3368
Fax
(918) 967-3351
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Janice L Bracken
Title
Billing/Credentialing
Phone
(918) 967-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D1039335 OK Primary

Addresses

Primary practice location

1505 E Main St
Stigler, OK 74462-2913

Mailing address

PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-4560

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1039335Stigler Health & Wellness Center1505 East Main, Stigler, OK 74462Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Stigler Health Wellness CT9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71361

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1083922207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620179",
            "telephone_number": "918-967-4560",
            "fax_number": "918-967-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E MAIN ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622913",
            "telephone_number": "918-967-3368",
            "fax_number": "918-967-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIGLER HEALTH AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "918-967-4560"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D1039335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.