NPIMap

Organization Active NPI

Great Salt Plains Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Enid, OK
National Provider Identifier
1699564476
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREAT SALT PLAINS HEALTH CENTER, INC.
Practice address
115 W Broadway Ave
Enid, OK 73701-4039
Phone
(580) 596-2800
NPI assigned
May 6, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Timothy Starkey
Title
Ceo
Phone
(580) 215-1766

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 30

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

View all 30

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121002593 OK Part A Provider - Federally Qualified Health Center (FQHC) 9133201171 Practice locations: Enid, OK

Federally qualified health center certification: CCN 371058

Legal name
GREAT SALT PLAINS HEALTH CENTER INC
Organization structure
OtherNon-profit
Enrollment address
115 W Broadway Ave
Ste 225
Enid, OK 73701-4039

All disclosed owners & managing parties 1

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Timothy Starkey Individual Operational/Managerial Control Mar 7, 2008

National Provider Directory

National Provider Directory
Tax ID family
Great Salt Plains Health Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

310 E Walnut
Canton, OK 73724
Phone (580) 886-2200

400 S Ohio Ave
Cherokee, OK 73728
Phone (580) 596-2828

115 W Broadway Ave
Ste 225
Enid, OK 73701

115 W Broadway Ave
Enid, OK 73701

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

115 W Broadway Ave
Enid, OK 73701-4039

Mailing address

205 W Maple Ave Ste 1000
Enid, OK 73701-4047
Phone (580) 233-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2025.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1699564476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MAPLE AVE STE 1000",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014047",
            "telephone_number": "580-233-2900",
            "fax_number": "580-233-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014039",
            "telephone_number": "580-596-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SALT PLAINS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "STARKEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-215-1766"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.