NPIMap

Organization Active NPI

Hinton Family Medical Clinic, LLC

  • Physician Assistant
  • Hinton, OK
National Provider Identifier
1952482192
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 873 Issued in OK
Legal business name
HINTON FAMILY MEDICAL CLINIC, LLC
Practice address
1500 N Broadway Blvd
Hinton, OK 73047-0220
Phone
(405) 542-6131
Fax
(405) 542-3665
NPI assigned
Oct 17, 2006
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Jennifer Gale Garner, PA-CNPI 1104869833
Title
Managing Member
Phone
(405) 542-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 873 OK Primary
Family Medicine Physician 207Q00000X 14812 OK

Addresses

Primary practice location

1500 N Broadway Blvd
Hinton, OK 73047-0220

Mailing address

PO Box 220
1500 N Broadway BVLD
Hinton, OK 73047-0220
Phone (405) 542-6131

Other identifiers 1

IdentifierTypeStateIssuer
200073360AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1500 N Broadway Blvd
Hinton, OK 73047
Phone (405) 542-6131

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1952482192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "1500 N BROADWAY BVLD",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730470220",
            "telephone_number": "405-542-6131",
            "fax_number": "405-542-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BROADWAY BLVD",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730470220",
            "telephone_number": "405-542-6131",
            "fax_number": "405-542-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINTON FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-542-6131",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA 873",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.