NPIMap

Organization Active NPI

Southern Plains Medical Center Inc

Doing business as CareFirst Wellness Associates

  • Clinic/Center
  • Anadarko, OK
National Provider Identifier
1255357745
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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
Jul 15, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN PLAINS MEDICAL CENTER INCAs reported in NPPES

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
Hareshkumar Boghara
Title
Owner
Phone
(405) 224-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1104 E Central Blvd
Anadarko, OK 73005-4406

Mailing address

2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 247-6685

Other identifiers 1

IdentifierTypeStateIssuer
100707760GMedicaidOK

Other names 1

  • CareFirst Wellness Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000698 OK Part B Supplier - Clinic/Group Practice 5991618969 Receives reassigned benefits from 14 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chickasha, OK; Norman, OK; Oklahoma City, OK; Pauls Valley, OK; Anadarko, OK

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southern Plains Medical Center Inc5 organizations share this tax ID, including this one
Part of
Southern Plains Medical Center Inc

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1255357745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "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": "YES",
        "parent_organization_legal_business_name": "SOUTHERN PLAINS MEDICAL CENTER INC",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-224-8111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100707760G",
            "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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.