Active NPI
Prophylaxis Healthcare LLC
- Rural Health Clinic/Center
- Pryor, OK
National Provider Identifier
1235800335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PROPHYLAXIS HEALTHCARE LLC
- Practice address
- 211 S Mill St
Pryor, OK 74361-5221 - Phone
- (918) 825-3777
- Fax
- (918) 825-3776
- NPI assigned
- Sep 28, 2021
- 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
- Bert Sanchez
- Title
- Owner
- Phone
- (479) 263-2690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
211 S Mill St
Pryor, OK 74361-5221
Mailing address
PO Box 334
Bixby, OK 74008-0334
Phone (918) 970-2886
Other practice location 1
2431 SE Washington Blvd Ste B
Bartlesville, OK 74006-7259
Phone (918) 335-2273
Other names 1
- Axis Rural Health
National Provider Directory
National Provider Directory- Tax ID family
- Axis Behavioral Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Axis Behavioral Health
- Community/Behavioral Health Agency
- Bixby, OK
- NPI 1285438317
Interoperability endpoints
- https://api.platform.athenahealth.com/17979/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1235800335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "BIXBY",
"state": "OK",
"postal_code": "740080334",
"telephone_number": "918-970-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S MILL ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743615221",
"telephone_number": "918-825-3777",
"fax_number": "918-825-3776"
}
],
"practiceLocations": [
{
"address_1": "2431 SE Washington Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Bartlesville",
"state": "OK",
"postal_code": "740067259",
"country_code": "US",
"telephone_number": "918-335-2273",
"fax_number": "918-335-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROPHYLAXIS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "BERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-263-2690"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Axis Rural Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.