Organization Active NPI

Southern Plains Medical Center Inc

Doing business as CareFirst Wellness Associates

  • Clinical Medical Laboratory
  • Anadarko, OK
National Provider Identifier
1235209453
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D0467390 Issued in OK
Legal business name
SOUTHERN PLAINS MEDICAL CENTER INC
Doing business as
CareFirst Wellness Associates
Practice address
1104 E Central Blvd
Anadarko, OK 73005-4406
Phone
(405) 247-6685
NPI assigned
Nov 8, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Haresh Boghara, MD
Title
Owner
Phone
(405) 224-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D0467390 OK Primary

Addresses

Primary practice location

1104 E Central Blvd
Anadarko, OK 73005-4406

Mailing address

1104 E Central Blvd
Anadarko, OK 73005-4406
Phone (405) 247-6685

Other identifiers 1

IdentifierTypeStateIssuer
100707760FMedicaidOK

Other names 1

  • CareFirst Wellness Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0469390Carefirst Wellness Associates1104 E Central Blvd, Anadarko, OK 73005Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Southern Plains Med5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1235209453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E CENTRAL BLVD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054406",
            "telephone_number": "405-247-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E CENTRAL BLVD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054406",
            "telephone_number": "405-247-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLAINS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-224-8111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D0467390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100707760F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareFirst Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anadarko, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.