Active NPI
Southern Plains Medical Center Inc
Doing business as CareFirst Wellness Associates
- Clinical Medical Laboratory
- Anadarko, OK
National Provider Identifier
1235209453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 37D0467390
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100707760F | Medicaid | OK |
Other names 1
- CareFirst Wellness Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0469390 | Carefirst Wellness Associates | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Plains Med
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CareFirst Wellness & Associates
- Durable Medical Equipment & Medical Supplies
- Chickasha, OK
- NPI 1124198387
-
dba CareFirst Wellness Associates
- Clinic/Center
- Anadarko, OK
- NPI 1255357745
-
dba CareFirst Wellness Associates
- Clinical Medical Laboratory
- Chickasha, OK
- NPI 1326118548
-
dba CareFirst Wellness Associates
- Clinic/Center
- Norman, OK
- NPI 1881499655
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.