White Oak Medical, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WHITE OAK MEDICAL, INC

Practice address

11016 State Highway 76
Claybough Plaza, Ste 6
Branson West, MO 65737-9775

Phone

(417) 272-0505

Fax

(417) 272-3020

NPI assigned

Mar 25, 2008

Last updated

Jun 16, 2009By 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

Daisy R McBee

Title

Clinic Administrator

Phone

(417) 294-2279

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1285806703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657372032",
            "telephone_number": "417-294-2279",
            "fax_number": "417-723-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 STATE HIGHWAY 76",
            "address_2": "CLAYBOUGH PLAZA, STE 6",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379775",
            "telephone_number": "417-272-0505",
            "fax_number": "417-272-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MCBEE",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "417-294-2279"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596068007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janice L Wells, NP
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• Charles E. Woodall Jr., DO

• Rural Health Clinic/Center in Branson West, MO
• Providers in Branson West, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.