NPIMap

Organization Active NPI

Clinton Hma LLC

Doing business as AllianceHealth Clinic - Clinton

  • Family Nurse Practitioner
  • Clinton, OK
National Provider Identifier
1447812003
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINTON HMA LLC
Doing business as
AllianceHealth Clinic - Clinton
Practice address
209 S 30TH St
Clinton, OK 73601-3657
Phone
(580) 323-2300
Fax
(580) 323-8170
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
James P. Wright, AO
Title
VP Physician Business Services
Phone
(615) 778-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

209 S 30TH St
Clinton, OK 73601-3657

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 778-8196

Other names 1

  • AllianceHealth Clinic - Clinton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppsi_enrollment@chs.net

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1447812003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013657",
            "telephone_number": "580-323-2300",
            "fax_number": "580-323-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppsi_enrollment@chs.net",
            "affiliation": "N",
            "address_1": "209 S 30th St",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AllianceHealth Clinic - Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.