Wildhorse Family Practice & Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WILDHORSE FAMILY PRACTICE & URGENT CARE INC

Practice address

1024 W Cherokee
Sallisaw, OK 74955

Phone

(918) 647-7829

Fax

(918) 654-3020

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Lamona K Estes, RN

Title

RN/Ceo

Phone

(918) 647-7829

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Doris E Burmaster, MANAGEMENT

  • Student in an Organized Health Care Education/Training Program
  • Sallisaw, OK
  • NPI 1609118199
  NPD (past)
• Steven R Dugan, MANAGEMENT

  • Student in an Organized Health Care Education/Training Program
  • Sallisaw, OK
  • NPI 1407198906
  NPD (past)
• Nancy A Rogow, MANAGEMENT

  • Student in an Organized Health Care Education/Training Program
  • Sallisaw, OK
  • NPI 1669714762
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1649518168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26256 CAUGHRON RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322376",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 W CHEROKEE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDHORSE FAMILY PRACTICE & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "LAMONA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "918-647-7829",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "9186543020",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine White
• Vicki Lynn White, BA PSYCHOLOGY, BS RW
• Susan L Wickett, LCSW
• Wildhorse Family Practice & Urgent Care
• Wildhorse Family Practice & Urgent Care Inc
• Kyle Wilhite
• Williams Medical Group Practice, LLC
• Victoria Grace Williams
• Kimberly Deanne Wilson
• Treston Wilson

• Urgent Care Clinic/Center in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.