Active NPI
Seminole Hma LLC
- Rural Health Clinic/Center
- Seminole, OK
National Provider Identifier
1114414760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 2342
- Legal business name
- SEMINOLE HMA LLC
- Doing business as
- AllianceHealth Seminole Clinic Boren Blvd
- Practice address
- 2249 Boren Blvd
Seminole, OK 74868-1927 - Phone
- (405) 382-6932
- Fax
- (405) 382-6028
- NPI assigned
- Apr 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Lalor
- Title
- Director
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 2342 | OK | Primary |
Addresses
Primary practice location
2249 Boren Blvd
Seminole, OK 74868-1927
Mailing address
2249 Boren Blvd
Seminole, OK 74868-1927
Phone (405) 382-6932
Other names 1
- AllianceHealth Seminole Clinic Boren Blvd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Rural health clinic certification: CCN 378521
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ALLIANCEHEALTH SEMINOLE CLINIC BOREN BLVD
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 6, 2018
- Last certification
- Oct 6, 2021
- Ownership / control type
- 1B
- Facility address
- 2249 Boren Blvd
Seminole, OK 74868 - Related CCNs
- 370229
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618963200000",
"number": "1114414760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 BOREN BLVD",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748681927",
"telephone_number": "405-382-6932",
"fax_number": "405-382-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 BOREN BLVD",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748681927",
"telephone_number": "405-382-6932",
"fax_number": "405-382-6028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMINOLE HMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-19",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "OK",
"license": "2342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AllianceHealth Seminole Clinic Boren Blvd",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AllianceHealth Seminole Clinic Boren Blvd",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seminole, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.