NPIMap

Organization Active NPI

Warren Clinic Inc

Doing business as Warren Clinic Employee Direct

  • Primary Care Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1285356998
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WARREN CLINIC INC
Doing business as
Warren Clinic Employee Direct
Practice address
2950 S Elm PL Ste 460
Broken Arrow, OK 74012-7863
Phone
(918) 884-2884
Fax
(918) 499-3715
NPI assigned
Sep 19, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Collin Henry, JD
Title
Sr VP, President Warren Clinic
Phone
(918) 494-8394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2950 S Elm PL Ste 460
Broken Arrow, OK 74012-7863

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other names 1

  • Warren Clinic Employee Direct 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
37D0473046Warren Clinic - Family Medicine Suite 1602950 S Elm Place, Suite 160, Broken Arrow, OK 74012Certificate of waiverMar 4, 2027
37D0672302Saint Francis Lab-Warren Clinic Elm Urgent Care2950 South Elm Place, Suite 115, Broken Arrow, OK 74012ComplianceJan 17, 2028
37D2258514Warren Clinic Ba Elm 2562950 S Elm Place, Ste 256, Broken Arrow, OK 74012Certificate of waiverApr 21, 2028
37D2271557Warren Clinic Employee Direct2950 S Elm Place, Ste 460, Broken Arrow, OK 74012Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Warren Clinic McAt Div17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1285356998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S ELM PL STE 460",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127863",
            "telephone_number": "918-884-2884",
            "fax_number": "918-499-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "SR VP, PRESIDENT WARREN CLINIC",
        "authorized_official_telephone_number": "918-494-8394",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Clinic Employee Direct",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warren Clinic Employee Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.