Active NPI
Latimer County Health Clinic
- Family Medicine Physician
- Wilburton, OK
National Provider Identifier
1508032756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LATIMER COUNTY HEALTH CLINIC
- Practice address
- 806 Highway 2 N
Wilburton, OK 74578-3625 - Phone
- (918) 465-5716
- Fax
- (918) 465-9931
- NPI assigned
- May 7, 2008
- Organization subpart
- Yes
- Parent organization
- LATIMER COUNTY GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Roberts
- Title
- Office Manager
- Phone
- (918) 465-5716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
806 Highway 2 N
Wilburton, OK 74578-3625
Mailing address
806 Highway 2 N
Wilburton, OK 74578-3625
Phone (918) 465-5716
National Provider Directory
National Provider Directory- Part of
- Latimer County Health C
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1508032756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 HIGHWAY 2 N",
"city": "WILBURTON",
"state": "OK",
"postal_code": "745783625",
"telephone_number": "918-465-5716",
"fax_number": "918-465-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HIGHWAY 2 N",
"city": "WILBURTON",
"state": "OK",
"postal_code": "745783625",
"telephone_number": "918-465-5716",
"fax_number": "918-465-9931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATIMER COUNTY HEALTH CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LATIMER COUNTY GENERAL HOSPITAL",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-465-5716"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilburton, OK
- Cheryl Lin Kennon
- Ki Bois Community Action Foundation
- Kiamichi Economic Development District of Oklahoma
- Heather Renee Killingsworth
- Amara Leigh Kirkes
- Latimer County Home Health Care Agency
- Latimer County Hospital Authority
- Latimer County Hospital Retirement Center, LLC
- Latimer Long Term Care LLC
- Ayan Love Lawson, D.M.D
Sources for this page
- 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.