Arbuckle Family Health, Aprn-CNP, LLC
Organization Active NPI Primary Care Clinic/Center · Davis, OK
NPI 1730548686 · NPPES record last updated Oct 3, 2019
Key facts
- NPI
- 1730548686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- OK67413 (OK)
- Legal business name
- ARBUCKLE FAMILY HEALTH, APRN-CNP, LLC
- Practice address
- 321 E Main St
Davis, OK 73030-1905 - Phone
- (580) 319-6504
- NPI assigned
- Feb 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Kristy M Meeks, APRN
- Title
- Nurse Practitioner
- Phone
- (580) 319-6504
Practitioners 1
-
Kristy Meeks, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160722002107 | OK | Part B Supplier - Clinic/Group Practice | 3274826615 |
Receives reassigned benefits from 1 practitioner Practice locations: Davis, OK |
National Provider Directory
Locations
321 E Main St
Davis, OK 73030
Phone (580) 247-9718
106 S 7th St
Davis, OK 73030
Phone (580) 247-9718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OK67413 | OK | Yes |
Addresses
Primary practice location
321 E Main St
Davis, OK 73030-1905
Mailing address
106 South 7TH Street
Davis, OK 73030-1905
Phone (580) 319-6504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | OK | EIN |
Other providers in Davis, OK
- Robert Alexander
- Arbuckle Memorial Hospital
- Arbuckle Memorial Hospital
- Deshawn R Brewer
- Burford Manor
- Danielle Elizabeth Cox
All providers in Davis, OK · Primary Care Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.