NPIMap

Organization Active NPI

Perry Memorial Hospital Authority

Doing business as Community Medical Clinic

  • Family Medicine Physician
  • Perry, OK
National Provider Identifier
1760892921
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2268 Issued in OK
Legal business name
PERRY MEMORIAL HOSPITAL AUTHORITY
Doing business as
Community Medical Clinic
Practice address
1318 Elm St
Perry, OK 73077-5034
Phone
(580) 336-9411
Fax
(580) 336-9422
NPI assigned
Apr 28, 2014
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PERRY MEMORIAL HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Joseph Greenlee
Title
Board Chairman
Phone
(580) 336-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2268 OK Primary

Addresses

Primary practice location

1318 Elm St
Perry, OK 73077-5034

Mailing address

501 N 14TH St
Perry, OK 73077-5021
Phone (580) 336-9411

Other names 1

  • Community Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Perry Memorial Hospital

Practitioners & affiliated clinicians

Practitioners 2

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": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1760892921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 14TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775021",
            "telephone_number": "580-336-9411",
            "fax_number": "580-336-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 ELM ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775034",
            "telephone_number": "580-336-9411",
            "fax_number": "580-336-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERRY MEMORIAL HOSPITAL AUTHORITY",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "580-336-3541"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.