NPIMap

Organization Active NPI

Adair County Health Center,Inc.

Doing business as Physicians Clinic

  • Family Medicine Physician
  • Stilwell, OK
National Provider Identifier
1326017492
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADAIR COUNTY HEALTH CENTER,INC.
Doing business as
Physicians Clinic
Practice address
1401 W Locust St
Suite 102
Stilwell, OK 74960-3217
Phone
(918) 696-4065
Fax
(918) 696-5971
NPI assigned
Mar 14, 2006
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAIR COUNTY HEALTH CENTER,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Mr. Alan L Adams
Title
Ceo
Phone
(918) 696-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217

Mailing address

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217
Phone (918) 696-4065

Other identifiers 1

IdentifierTypeStateIssuer
100700030EMedicaidOK

Other names 1

  • PHYSICIANS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224000664 OK Part B Supplier - Clinic/Group Practice 9638065907 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stilwell, OK
O20100930015698 OK DME Supplier - Multi-Specialty - PhysicianDME Supplier - Orthotic Personnel 9638065907 Practice locations: Stilwell, OK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Adair County Health Center Incdba Wojciech Dulowskimd

Locations

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial HospitalStilwell, OK, CCN 370785 Hospital Operational/Managerial Control Sep 1, 1977
Memorial Hospital Home CareStilwell, OK, CCN 377161 Home health agency Operational/Managerial Control (100%) May 19, 1975

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1326017492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH CENTER,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAIR COUNTY HEALTH CENTER,INC.",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-696-3101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700030E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

Verify at the official NPI Registry.