Organization Active NPI

Traditions Health Care of Purcell, LLC

Doing business as Traditions Health of Purcell

  • Clinic/Center
  • Purcell, OK
National Provider Identifier
1356068332
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRADITIONS HEALTH CARE OF PURCELL, LLC
Doing business as
Traditions Health of Purcell
Practice address
519 W Delaware St
Purcell, OK 73080-5242
Phone
(405) 527-0027
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
John Kerndl
Title
Cfo & Secretary
Phone
(979) 704-6547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

519 W Delaware St
Purcell, OK 73080-5242

Mailing address

6840 Carothers Pkwy Ste 550
Franklin, TN 37067-8002
Phone (979) 704-6547

Other practice location 1

511 E Main St
Davis, OK 73030-1909
Phone (580) 369-5531

Other practice location 2

2303 W Wrangler Blvd
Seminole, OK 74868-1918
Phone (405) 382-0223

Other practice location 3

109 W Main St Ste B
Holdenville, OK 74848-3229
Phone (405) 379-5497

Other practice location 4

2031 Arlington St
Ada, OK 74820-2818
Phone (580) 332-4888

Other practice location 5

810 W Broadway St
Ardmore, OK 73401-4527
Phone (580) 226-4544

Other names 1

  • Traditions Health of Purcell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Traditions Health Care of Purcell LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1356068332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W DELAWARE ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730805242",
            "telephone_number": "405-527-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E Main St",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "OK",
            "postal_code": "730301909",
            "country_code": "US",
            "telephone_number": "580-369-5531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2303 W Wrangler Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748681918",
            "country_code": "US",
            "telephone_number": "405-382-0223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Holdenville",
            "state": "OK",
            "postal_code": "748483229",
            "country_code": "US",
            "telephone_number": "405-379-5497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2031 Arlington St",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748202818",
            "country_code": "US",
            "telephone_number": "580-332-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734014527",
            "country_code": "US",
            "telephone_number": "580-226-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRADITIONS HEALTH CARE OF PURCELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO & SECRETARY",
        "authorized_official_telephone_number": "979-704-6547"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health of Purcell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Health of Purcell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.