Organization Active NPI

Latimer County Health Clinic

  • Family Medicine Physician
  • Wilburton, OK
National Provider Identifier
1508032756
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

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.

Verify at the official NPI Registry.