Stover Family Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

R0096200 Issued in OK

Legal business name

STOVER FAMILY CLINIC

Practice address

813 Veterans Way
Broken Bow, OK 74728

Phone

(580) 584-6600

Fax

(580) 584-6603

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By 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

Rebecca Renee Stover, RN, NP-CNPI 1477925535

Title

Owner

Phone

(580) 584-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

Practitioners 1

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.

• Rebecca Stover, RN, NP-C

  • Family Nurse Practitioner
  • Broken Bow, OK
  • NPI 1477925535
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1922467505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 VETERANS WAY",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "74728",
            "telephone_number": "580-584-6600",
            "fax_number": "580-584-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 VETERANS WAY",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "74728",
            "telephone_number": "580-584-6600",
            "fax_number": "580-584-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVER FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-584-6600",
        "authorized_official_credential": "RN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OK",
            "license": "R0096200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrills Corporation (Sherills Pharmacy and Gifts)
• Sherrills Corporation
• Simpson Pharmacy, PLLC (Simpson Pharmacy)
• James Dilan Skaggs
• Nicole Smith
• Rebecca Stover, RN, NP-C
• Pierre Francis Taron III, D.C.
• Texarkana Eye Associates-Broken Bow Branch
• Tobe Thacker, D.C.
• Three Rivers Consulting & Management ,LLC (Complete Hospice Care of Eastern Oklahoma)

• Health Service Clinic/Center in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.