NPIMap

Organization Active NPI

Texoma Rural Health Center

  • Family Medicine Physician
  • Tishomingo, OK
National Provider Identifier
1144698036
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21084 Issued in OK
Legal business name
TEXOMA RURAL HEALTH CENTER
Practice address
508 E 24TH St
Tishomingo, OK 73460-3214
Phone
(580) 371-9117
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTERN OKLAHOMA FAMILY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Virginia Marie Ragan
Title
Ceo
Phone
(580) 745-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21084 OK Primary

Addresses

Primary practice location

508 E 24TH St
Tishomingo, OK 73460-3214

Mailing address

127 N 3Rd Ave
Durant, OK 74701-4700
Phone (580) 745-9535

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Oklahoma Family Services Inc19 organizations share this tax ID, including this one
Part of
Southeastern Oklahoma Family Services Inc

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1144698036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N 3RD AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014700",
            "telephone_number": "580-745-9535",
            "fax_number": "580-745-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA RURAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN OKLAHOMA FAMILY SERVICES INC",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-745-9535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.