Battles Broken Bow Family Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BATTLES BROKEN BOW FAMILY CLINIC, LLC

Doing business as

Broken Bow Family Clinic LLC

Practice address

115 W 1St St
Broken Bow, OK 74728-3901

Phone

(580) 584-5551

Fax

(877) 697-8948

NPI assigned

Apr 24, 2020

Last updated

Apr 9, 2024By 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

Lauren Dawn Ragland

Title

Office Manager

Phone

(580) 584-5551

Specialties & licenses 2

Addresses

Other names 1

• BROKEN BOW FAMILY CLINIC LLC Doing business as

Locations

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1902426489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 1ST ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283901",
            "telephone_number": "580-584-5551",
            "fax_number": "580-584-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 1ST ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283901",
            "telephone_number": "580-584-5551",
            "fax_number": "877-697-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLES BROKEN BOW FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-584-5551"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROKEN BOW FAMILY CLINIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Shawn Anna
• Assurance Health Care Services, LLC
• Courtney Axton
• Joyce Baker
• Erin Janine Bartlett, DDS
• Leslie Orr Battles, CNP
• BBHR Opco, LLC (Broken Bow Health and Rehab)
• Black Oak Clinic LLC
• Megan Elizabeth Black, APRN, C-NP
• Tonya Joy Boles, PAC

• Primary Care Clinic/Center in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.