Family Care Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

27009 Issued in OK

Legal business name

FAMILY CARE CLINIC INC

Practice address

1506 W Chickasaw Ave
Sallisaw, OK 74955-7200

Phone

(918) 776-0050

Fax

(918) 776-0065

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Rogow, MD

Title

Physician

Phone

(918) 776-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kelli Thompson

  • Counselor
  • Poteau, OK
  • NPI 1285094979
  NPD
• Tracy Leann Morgan, APRN FNP-C

  • Family Nurse Practitioner
  • Poteau, OK
  • NPI 1124676416
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629507918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 W CHICKASAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557200",
            "telephone_number": "918-776-0050",
            "fax_number": "918-776-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 W CHICKASAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557200",
            "telephone_number": "918-776-0050",
            "fax_number": "918-776-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "ROGOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-776-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "27009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200245750",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ess of Sallisaw, LLC
• Christine Marie Eubanks, MS, CBT. LPC
• Kristen Kaye Fair
• April Lynn Faircloth
• Fairfax Manor LLC
• James Leo Farmer
• Sherry Ann Fey
• Kent Fields
• Jimmie Fite
• Gloria Fitzsimmons

• General Practice Physician in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.