NPIMap

Organization Active NPI

Stillwater Medical Center Authority

  • Rural Health Clinic/Center
  • Perkins, OK
National Provider Identifier
1366075616
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STILLWATER MEDICAL CENTER AUTHORITY
Practice address
505 E Highway 33
Perkins, OK 74059-4520
Phone
(405) 547-4162
Fax
(405) 547-4159
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Denise Adrienne Webber
Title
Ceo
Phone
(405) 742-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

505 E Highway 33
Perkins, OK 74059-4520

Mailing address

PO Box 720006
Norman, OK 73070-4006
Phone (405) 742-5300

Other names 1

  • Perkins Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cimarron Medical Supply28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

505 E Highway 33
Perkins, OK 74059
Phone (405) 547-2473

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1366075616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720006",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704006",
            "telephone_number": "405-742-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E HIGHWAY 33",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "740594520",
            "telephone_number": "405-547-4162",
            "fax_number": "405-547-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-742-5230"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perkins Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perkins, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.