NPIMap

Organization Active NPI

Iowa Tribe of Oklahoma

Doing business as Perkins Family Clinic

  • Clinic/Center
  • Perkins, OK
National Provider Identifier
1104872456
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IOWA TRIBE OF OKLAHOMA
Doing business as
Perkins Family Clinic
Practice address
501 E Highway 33
Perkins, OK 74059
Phone
(405) 547-2473
Fax
(405) 547-2925
NPI assigned
May 26, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. Tod Robertson
Title
Tribal Administrator
Phone
(405) 547-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

501 E Highway 33
Perkins, OK 74059

Mailing address

RR 1 Box 721
Perkins, OK 74059
Phone (405) 547-2473

Other names 1

  • Perkins Family Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iowa Tribe of Oklahoma5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1104872456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 721",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "74059",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HIGHWAY 33",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "74059",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA TRIBE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "TRIBAL ADMINISTRATOR",
        "authorized_official_telephone_number": "405-547-2402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perkins Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perkins, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.