NPIMap

Organization Active NPI

Northeast Oklahoma Clinical Partners, Inc.

  • Clinic/Center
  • Vinita, OK
National Provider Identifier
1902044480
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2182 Issued in OK
Legal business name
NORTHEAST OKLAHOMA CLINICAL PARTNERS, INC.
Practice address
735 N Foreman St
Vinita, OK 74301-1422
Phone
(918) 256-0252
NPI assigned
Jan 22, 2009
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mr. Rex Walk, FACHE
Title
Chief Executive Officer
Phone
(918) 256-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2182 OK Primary

Addresses

Primary practice location

735 N Foreman St
Vinita, OK 74301-1422

Mailing address

PO Box 3096
Dept 525
Tulsa, OK 74101-3096
Phone (918) 256-0252

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

803 N Foreman St
Ste B
Vinita, OK 74301
Phone (918) 256-9200

Practitioners & affiliated clinicians

Practitioners 5

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1902044480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3096",
            "address_2": "DEPT 525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741013096",
            "telephone_number": "918-256-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N FOREMAN ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011422",
            "telephone_number": "918-256-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OKLAHOMA CLINICAL PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-256-7551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.