NPIMap

Organization Active NPI

Adair County Health Center,Inc.

Doing business as Physicians Clinic Dba Nicholas Bentley, D.O.

  • Family Medicine Physician
  • Stilwell, OK
National Provider Identifier
1730369547
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2348 Issued in OK
Legal business name
ADAIR COUNTY HEALTH CENTER,INC.
Doing business as
Physicians Clinic Dba Nicholas Bentley, D.O.
Practice address
1401 W Locust St
102
Stilwell, OK 74960-3217
Phone
(918) 696-4065
Fax
(918) 696-5971
NPI assigned
Nov 8, 2007
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Beverly A. Ross
Title
Clinic Manager
Phone
(918) 696-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2348 OK Primary

Addresses

Primary practice location

1401 W Locust St
102
Stilwell, OK 74960-3217

Mailing address

1401 W Locust St
102
Stilwell, OK 74960-3217
Phone (918) 696-4065

Other identifiers 1

IdentifierTypeStateIssuer
100200460AMedicaidOK

Other names 1

  • PHYSICIANS CLINIC DBA NICHOLAS BENTLEY, D.O. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adair County Health Centerincdba Magdalena Santos MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1730369547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "918-696-4065"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS CLINIC DBA NICHOLAS BENTLEY, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.