NPIMap

Organization Active NPI

Irvin Medical Clinic

  • Primary Care Clinic/Center
  • Hugo, OK
National Provider Identifier
1215320320
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
83065 Issued in OK
Legal business name
IRVIN MEDICAL CLINIC
Practice address
1001 E Jackson St
Hugo, OK 74743-4225
Phone
(580) 317-9000
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Michael Irvin, D.O.NPI 1699702712
Title
Owner
Phone
(580) 317-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 83065 OK Primary

Addresses

Primary practice location

1001 E Jackson St
Hugo, OK 74743-4225

Mailing address

1001 E Jackson St
Hugo, OK 74743-4225
Phone (580) 317-9000

National Provider Directory

National Provider Directory

Locations

1001 E Jackson St
Hugo, OK 74743
Phone (580) 317-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1215320320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434225",
            "telephone_number": "580-317-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434225",
            "telephone_number": "580-317-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-317-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "83065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.