Organization Active NPI

El Reno Community Clinic, Inc. Dba 'PHCC'

  • Case Management Agency
  • El Reno, OK
National Provider Identifier
1124329602
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251B0000X
Legal business name
EL RENO COMMUNITY CLINIC, INC. DBA 'PHCC'
Practice address
100 S Rock Island Ave
El Reno, OK 73036-2733
Phone
(405) 213-4899
NPI assigned
Nov 15, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Ms. Billie J Linam, MSW
Title
Board Chairman
Phone
(405) 249-6064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 251B0000X Primary

Addresses

Primary practice location

100 S Rock Island Ave
El Reno, OK 73036-2733

Mailing address

PO Box 427
El Reno, OK 73036-0427
Phone (405) 213-4899

National Provider Directory

National Provider Directory

Locations

100 S Rock Island Ave
El Reno, OK 73036
Phone (405) 213-4899

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1124329602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730360427",
            "telephone_number": "405-213-4899",
            "fax_number": "405-373-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ROCK ISLAND AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362733",
            "telephone_number": "405-213-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RENO COMMUNITY CLINIC, INC. DBA 'PHCC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "LINAM",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "405-249-6064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": "251B0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.