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 NPI 1962738666
Title
Nurse Practitioner-Family
Phone
(405) 949-1552

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

Practitioners 1

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2014456Health Watch Medical Center, LLC
1924 North Portland Avenue, Oklahoma City, OK 73107
Provider-performed microscopyOct 10, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
83300OtherOKLICENSE #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2014.

{
    "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

All providers in Oklahoma City, OK · Health Service Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.