Three Rivers Health Center Muskogee

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

L0039734 Issued in OK

Legal business name

THREE RIVERS HEALTH CENTER MUSKOGEE

Practice address

1001 S 41St St E
Muskogee, OK 74403-6253

Phone

(918) 781-6500

Fax

(918) 686-8398

NPI assigned

Dec 2, 2016

Last updated

Dec 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Renee Sanders, LPN

Title

Public Health

Phone

(918) 781-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1265975668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 41ST ST E",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036253",
            "telephone_number": "918-781-6500",
            "fax_number": "918-686-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 41ST ST E",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036253",
            "telephone_number": "918-781-6500",
            "fax_number": "918-686-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTH CENTER MUSKOGEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PUBLIC HEALTH",
        "authorized_official_telephone_number": "918-781-6500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OK",
            "license": "L0039734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan L Thompson, MSW
• Urlonda Thompson
• Brady Thornton, DMD
• Bryce Thornton, COTA
• Three Forks Emergency Physicians
• Three Rivers Surgical Care LP
• Three Rivers Surgical Care LP
• Danielle Tice-Phillips, M.S. CF-SLP
• Shelly D Tidwell, REGISTERED NURSE
• Jodie Lynne Tiger

• Community Health Clinic/Center in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Community Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.