Seminole Hma LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

2342 Issued in OK

Legal business name

SEMINOLE HMA LLC

Practice address

3700 N Kickapoo Ave Ste 124
Shawnee, OK 74804-0007

Phone

(405) 273-6383

Fax

(405) 214-1078

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Paula Lalor

Title

Director / Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other names 1

• AllianceHealth Clinic Shawnee Doing business as

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1689177370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE STE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748040007",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE STE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748040007",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR / DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Clinic Shawnee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Sears
• Ernest Larry Sego III
• Shay Lynn Sehon, SLPA
• Mickey Lynn Sehorn, D.D.S.
• Select Physical Therapy Holdings, Inc.
• Kassi Ann Sexton, M.D.
• Shelby Shackelford
• Victoria Shanks, CM II
• Deborah L Sharp
• Shawnee Care Center LLC

• Rural Health Clinic/Center in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.