Red Berry Health System

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RED BERRY HEALTH SYSTEM

Practice address

6403 W Gore Blvd
Lawton, OK 73505-5801

Phone

(580) 699-5333

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Forrest Tahdooahnippah

Title

Chairman

Phone

(580) 360-5450

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1205795143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 NW BINGO RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735071214",
            "telephone_number": "580-360-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055801",
            "telephone_number": "580-699-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BERRY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "TAHDOOAHNIPPAH",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "580-360-5450"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annmarie Patrysha Rathburn-Leclaire
• Danny Rathjen
• Cheyenne Ration, COTA
• Kyle Ray, DPT
• Thomas Razor Jr.
• Winrod Yackeschi Red Elk
• Red River Medical Services LLC
• Red Rock Military Services
• Redbud Occupational & Physical Therapy Limited Partnership
• Emily Danielle Redding, BCBA

• Primary Care Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.