NPIMap

Organization Active NPI

Ardmore Institute of Health

Doing business as Lifestyle Center of America

  • Clinic/Center
  • Sulphur, OK
National Provider Identifier
1679664080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARDMORE INSTITUTE OF HEALTH
Doing business as
Lifestyle Center of America
Practice address
RR 1 Box 4001
Sulphur, OK 73086-9796
Phone
(580) 993-2327
Fax
(580) 993-3902
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin Brown
Title
Cfo
Phone
(580) 993-2327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

RR 1 Box 4001
Sulphur, OK 73086-9796

Mailing address

RR 1 Box 4001
Sulphur, OK 73086-9796
Phone (580) 993-2327

Other names 1

  • Lifestyle Center of America Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679664080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 4001",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730869796",
            "telephone_number": "580-993-2327",
            "fax_number": "580-993-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 4001",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730869796",
            "telephone_number": "580-993-2327",
            "fax_number": "580-993-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE INSTITUTE OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-993-2327"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Center of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.