DLS Medical Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

DLS MEDICAL CLINIC

Doing business as

Stigler Primary Care Clinic

Practice address

907 NW 5TH St
Stigler, OK 74462-1611

Phone

(918) 967-0055

Fax

(918) 967-2808

NPI assigned

May 21, 2020

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy Lee Scott, CNPNPI 1164041513

Title

Owner

Phone

(918) 967-0055

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stigler Primary Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851914113. Details of each certification follow.

• CCN 373917 Rural health clinic · Active · Details

Rural health clinic certification: CCN 373917

Legal name

DLS MEDICAL CLINIC

Doing business as

STIGLER PRIMARY CARE CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 30, 2025

Last certification

Sep 12, 2025

Ownership / control type

1B

Organization structure

LLCProprietary

Enrollment address

907 NW 5TH St
Stigler, OK 74462-1611

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dorothy Lee Scott, CNP

  • Family Nurse Practitioner
  • Stigler, OK
  • NPI 1164041513

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee

  CMS ownership

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.

• Dorothy Lee Scott, CNP

  • Family Nurse Practitioner
  • Stigler, OK
  • NPI 1164041513
  Medicare reassignment Care Compare group NPD Authorized official
• Kensie Bush, APRN-CNP

  • Family Medicine Physician
  • Stigler, OK
  • NPI 1295628345
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1851914113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 NW 5TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621611",
            "telephone_number": "918-967-0055",
            "fax_number": "918-967-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NW 5TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621611",
            "telephone_number": "918-967-0055",
            "fax_number": "918-967-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-967-0055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "124634",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stigler Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stigler Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creoks Mental Health Services, Inc
• Eugene Davis
• Patricia Davis
• Kathleen Rene Decker, MSN, APRN, FNP-C
• Billy Joe Dickson
• Daniel Shawn Donovan
• Glenda Sue Donovan
• Abby Dora
• Shirley M Doyle
• Elisha Duncan

• Rural Health Clinic/Center in Stigler, OK
• Providers in Stigler, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.