El Reno Indian Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R006447 Issued in OK

Legal business name

EL RENO INDIAN HEALTH CENTER

Practice address

1801 N Parkview Drive
El Reno, OK 73036

Phone

(580) 331-3300

NPI assigned

Feb 9, 2012

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

DEPARTMENT OF HEALTH AND HUMAN SERVICESAs reported in NPPES

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

Authorized official

Name

Carmen Clelland, PHARM.D.

Title

Ceo

Phone

(580) 331-3314

Specialties & licenses 1

Addresses

Other names 1

• INDIAN HEALTH SERVICE Other name

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

CLIA laboratory certificates

Tax ID family

Navy Medical Branch Clinic - Uk200 organizations share this tax ID, including this one

Part of

US Public Health Service

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1104198936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N PARKVIEW DRIVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "580-331-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N PARKVIEW DRIVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "580-331-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RENO INDIAN HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF HEALTH AND HUMAN SERVICES",
        "enumeration_date": "2012-02-09",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CLELLAND",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-331-3314",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "R006447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIAN HEALTH SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• El Reno Dental
• El Reno Dental Group PLLC
• El Reno Family Clinic and Minor Emergency Services, Inc
• El Reno Health Care, LLC (El Reno Post-Acute Rehabilitation Center)
• El Reno IHS Pharmacy
• El Reno Indian Health Center
• El Reno Nursing Center LLC (Grace Living Center - El Reno)
• El Reno Public Schools
• El Reno Residential Care Home
• Mark Stephen Elliott, D.D.S.

• Clinic/Center in El Reno, OK
• Providers in El Reno, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.