NPIMap

Organization Active NPI

Lifeline Health Care LLC

  • Urgent Care Clinic/Center
  • Yukon, OK
National Provider Identifier
1811548381
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LIFELINE HEALTH CARE LLC
Practice address
704 Azalea Hill Dr
Yukon, OK 73099-6504
Phone
(405) 747-4835
Fax
(405) 467-4417
NPI assigned
Sep 25, 2019
Last updated
Dec 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Christi Vick, RN,MSN,APRN,CNPNPI 1548819477
Title
Owner/Operator
Phone
(405) 747-4835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

704 Azalea Hill Dr
Yukon, OK 73099-6504

Mailing address

704 Azalea Hill Dr
Yukon, OK 73099-6504
Phone (405) 747-4835

National Provider Directory

National Provider Directory

Locations

301 E Highway 33
Ste A
Perkins, OK 74059
Phone (405) 747-4835

Practitioners & affiliated clinicians

Practitioners 1

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": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1811548381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 AZALEA HILL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996504",
            "telephone_number": "405-747-4835",
            "fax_number": "405-467-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 AZALEA HILL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996504",
            "telephone_number": "405-747-4835",
            "fax_number": "405-467-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-747-4835",
        "authorized_official_credential": "RN,MSN,APRN,CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.