NPIMap

Organization Active NPI

Stillwater Medical Center Authority

Doing business as Chandler Outreach Clinic

  • Rural Health Clinic/Center
  • Chandler, OK
National Provider Identifier
1982237244
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STILLWATER MEDICAL CENTER AUTHORITY
Doing business as
Chandler Outreach Clinic
Practice address
1116 Manvel Ave
Chandler, OK 74834-3856
Phone
(405) 258-5252
Fax
(405) 258-5552
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Denise Adrienne Webber
Title
Ceo
Phone
(405) 742-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1116 Manvel Ave
Chandler, OK 74834-3856

Mailing address

PO Box 720006
Norman, OK 73070-4006
Phone (405) 742-5300

Other names 1

  • Chandler Outreach Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phillip Newman28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1982237244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720006",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704006",
            "telephone_number": "405-742-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MANVEL AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748343856",
            "telephone_number": "405-258-5252",
            "fax_number": "405-258-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-742-5230"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Outreach Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.