NPIMap

Organization Active NPI

CHS Health Services, LLC

Doing business as Goodlife Health Center

  • General Practice Physician
  • Lawton, OK
National Provider Identifier
1861814527
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS HEALTH SERVICES, LLC
Doing business as
Goodlife Health Center
Practice address
1 SW Goodyear Blvd
Lawton, OK 73505-9723
Phone
(580) 531-5947
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(706) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1 SW Goodyear Blvd
Lawton, OK 73505-9723

Mailing address

5500 Maryland Way Ste 200
Brentwood, TN 37027-4973

Other names 1

  • Goodlife Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choose Health Wellness Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1861814527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW GOODYEAR BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059723",
            "telephone_number": "580-531-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "706-760-0700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodlife Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.