NPIMap

Organization Active NPI

Pro-Care Family Health of Oklahoma , LLC

  • Rural Health Clinic/Center
  • Poteau, OK
National Provider Identifier
1609700079
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC
Practice address
1103 Dewey Ave
Poteau, OK 74953-4411
Phone
(918) 649-3777
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Evelyn Marie Tustin
Title
Manager
Phone
(918) 647-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1103 Dewey Ave
Poteau, OK 74953-4411

Mailing address

PO Box 1278
Poteau, OK 74953-1278
Phone (918) 649-3777

National Provider Directory

National Provider Directory
Tax ID family
Pro-Care Fam HLTH of Ok LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1609700079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531278",
            "telephone_number": "918-649-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534411",
            "telephone_number": "918-649-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "TUSTIN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-647-0670"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.