Blackwell Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLACKWELL FAMILY MEDICINE LLC

Practice address

1009 W Ferguson Ave
Blackwell, OK 74631-5602

Phone

(580) 363-0052

Fax

(580) 363-0894

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By 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

Sara J Fair

Title

Office Manger

Phone

(580) 363-0052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1376356204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W FERGUSON AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746315602",
            "telephone_number": "580-363-0052",
            "fax_number": "580-363-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W FERGUSON AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746315602",
            "telephone_number": "580-363-0052",
            "fax_number": "580-363-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "580-363-0052"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.