Organization Active NPI

Jane Phillips Nowata Health Center

  • Clinical Medical Laboratory
  • Nowata, OK
National Provider Identifier
1881807436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2187 Issued in OK
Legal business name
JANE PHILLIPS NOWATA HEALTH CENTER
Practice address
237 S. Locust St.
Nowata, OK 74048-3660
Phone
(918) 331-5414
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maggie Blevins
Title
Administrator
Phone
(918) 331-5414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2187 OK Primary

Addresses

Primary practice location

237 S. Locust St.
Nowata, OK 74048-3660

Mailing address

237 S. Locust St.
Nowata, OK 74048-3660
Phone (918) 331-5414

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0656672Ascension St John Jane Phillips Nowata237 S Locust Street, Nowata, OK 74048AccreditationMar 3, 2028
37D2011725Jane Phillips Nowata Health Center237 S Locust St, Nowata, OK 74048Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jane Phillips Nowata Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

237 S Locust St
Nowata, OK 74048
Phone (918) 273-3102

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881807436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 S. LOCUST ST.",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483660",
            "telephone_number": "918-331-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S. LOCUST ST.",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483660",
            "telephone_number": "918-331-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PHILLIPS NOWATA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-331-5414"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nowata, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.