Wildhorse Family Practice & Urgent Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILDHORSE FAMILY PRACTICE & URGENT CARE INC

Practice address

3807 W Cherokee Ave
Sallisaw, OK 74955-2452

Phone

(918) 647-7829

Fax

(918) 654-3020

NPI assigned

May 19, 2014

Last updated

May 19, 2014By 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

Lisa Kay Simpson, OWNER

Title

Owner

Phone

(918) 647-7829

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1447661962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26256 CAUGHRON RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322376",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 W CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552452",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDHORSE FAMILY PRACTICE & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-647-7829",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "1141",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Elizabeth Weston
• Christine White
• Vicki Lynn White, BA PSYCHOLOGY, BS RW
• Susan L Wickett, LCSW
• Wildhorse Family Practice & Urgent Care
• Wildhorse Family Practice & Urgent Care Inc
• Kyle Wilhite
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Victoria Grace Williams
• Kimberly Deanne Wilson

• Primary Care Clinic/Center in Sallisaw, OK
• Providers in Sallisaw, 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 May 19, 2014; 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.