Organization Active NPI

Family Health Care & Minor Emergency Clinic Inc

  • Clinic/Center
  • Yukon, OK
National Provider Identifier
1548355134
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY HEALTH CARE & MINOR EMERGENCY CLINIC INC
Practice address
11109 Surrey Hills Blvd
Yukon, OK 73099-8155
Phone
(405) 373-2400
Fax
(405) 373-4400
NPI assigned
Oct 3, 2006
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Antonia Pratt-Reid, APRNNPI 1477595635
Title
Ceo
Phone
(405) 373-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11109 Surrey Hills Blvd
Yukon, OK 73099-8155

Mailing address

PO Box 660
Piedmont, OK 73078-0660
Phone (405) 373-2400

Other identifiers 1

IdentifierTypeStateIssuer
200010210BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000458 OK Part B Supplier - Clinic/Group Practice 8729075650 Receives reassigned benefits from 9 practitioners
Practice locations: Yukon, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1026412Family Healthcare and Minor Emergency Clinic11109 Surrey Hills Boulevard, Yukon, OK 73099Provider-performed microscopyMar 24, 2027

National Provider Directory

National Provider Directory

Locations

6102 NW 63rd St
Ste A
Oklahoma City, OK 73132
Phone (405) 373-2400

11109 Surrey Hills Blvd
Yukon, OK 73099
Phone (405) 373-2400

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1548355134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730780660",
            "telephone_number": "405-373-2400",
            "fax_number": "405-212-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-2400",
            "fax_number": "405-373-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE & MINOR EMERGENCY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "PRATT-REID",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-373-2400",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010210B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.