Health Watch Medical Center
Organization Active NPI Health Service Clinic/Center · Oklahoma City, OK
NPI 1598072050 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1598072050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 83300 (OK)
- Legal business name
- HEALTH WATCH MEDICAL CENTER
- Practice address
- 1924 N Portland Ave
Oklahoma City, OK 73107-1532 - Phone
- (405) 949-1552
- Fax
- (405) 949-1570
- NPI assigned
- Sep 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Helen Mboh, APRN-FNP-C
- Title
- Nurse Practitioner-Family
- Phone
- (405) 949-1552
Practitioners 1
-
Helen Epong Mboh, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2014456 | Health Watch Medical Center, LLC | Provider-performed microscopy | Oct 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120118000804 | OK | Part B Supplier - Clinic/Group Practice | 4880866698 |
Receives reassigned benefits from 1 practitioner Practice locations: Oklahoma City, OK |
National Provider Directory
Locations
1924 N Portland Ave
Oklahoma City, OK 73107
Phone (405) 949-1552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 83300 | OK | Yes |
Addresses
Primary practice location
1924 N Portland Ave
Oklahoma City, OK 73107-1532
Mailing address
1924 N Portland Ave
Oklahoma City, OK 73107-1532
Phone (405) 949-1552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83300 | Other | OK | LICENSE # |
NPI Registry JSON
{
"created_epoch": "1283558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413158400000",
"number": "1598072050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071532",
"telephone_number": "405-949-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071532",
"telephone_number": "405-949-1552",
"fax_number": "405-949-1570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH WATCH MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-04",
"last_updated": "2014-10-13",
"status": "A",
"authorized_official_last_name": "MBOH",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "NURSE PRACTITIONER-FAMILY",
"authorized_official_telephone_number": "405-949-1552",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN-FNP-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "OK",
"license": "83300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "83300",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Health Path Services LLC
- Health Psychology Associates, Inc.
- Health Research Institute
- Health Resources
- Health Services Oklahoma LLC
- Healthback Medical Solutions, Inc.
- Healthback of Oklahoma City, Inc
- Healthcare Innovations in-Home Services of Oklahoma City , LLC
- Healthcare Innovations in-Home Services of Oklahoma City, LLC
- Healthcare Innovations of Oklahoma, LLC
All providers in Oklahoma City, OK · Health Service Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.