NPIMap

Organization Active NPI

Usphs Indian Health Service

  • Clinic/Center
  • Watonga, OK
National Provider Identifier
1518224260
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3568 Issued in OK
Legal business name
USPHS INDIAN HEALTH SERVICE
Practice address
RR 1 Box 34a
Watonga, OK 73772-9706
Phone
(580) 623-4991
Fax
(580) 623-5490
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Carmen C Clelland, PHARMD, MPA
Title
Ceo
Phone
(580) 331-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3568 OK Primary

Addresses

Primary practice location

RR 1 Box 34a
Watonga, OK 73772-9706

Mailing address

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3300

National Provider Directory

National Provider Directory
Tax ID family
Clinton Indian Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1518224260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 N 2274 RD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736017521",
            "telephone_number": "580-331-3300",
            "fax_number": "580-323-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 34A",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737729706",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USPHS INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "CLELLAND",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-331-3314",
        "authorized_official_credential": "PHARMD, MPA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watonga, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.