Indian Territory Home Health and Hospice Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

37D0472003 Issued in OK

Legal business name

INDIAN TERRITORY HOME HEALTH AND HOSPICE INC.

Doing business as

Tishomingo Family Medical Center

Practice address

512 E 24TH St
Tishomingo, OK 73460-3214

Phone

(580) 371-2394

Fax

(580) 371-2638

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tim Paul Wigington

Title

Owner, Administrator

Phone

(580) 371-2394

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tishomingo Family Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Reel, DO

  • Family Medicine Physician
  • Tishomingo, OK
  • NPI 1871536862
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1437256831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734600176",
            "telephone_number": "580-371-2394",
            "fax_number": "580-371-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-2394",
            "fax_number": "580-371-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN TERRITORY HOME HEALTH AND HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "WIGINGTON",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "580-371-2394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D0472003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "730796180003",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262450D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tishomingo Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denver Kyle Hull
• Hunter Ty Hull
• Jayne Hull
• Ranada Hulsey, LPC
• Indian Territory Health Services (Indian Territory Adult Days Services)
• Indian Territory Home Health Inc (Indian Territory Durable Medical Equipment)
• Indian Territory Long Term Care, Inc. (Indian Territory Provider Care Plus)
• Indian Territory Long Term Care, Inc. (Indian Territory Provider Care Plus)
• Indian Territory Long Term Care, Inc. (Indian Territory Provider Care PLus)
• Daniel Floyd James, BS

• Clinical Medical Laboratory in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.