WELLSPRING FAMILY CLINIC (NPI# 1033526611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033526611 |
| Entity Type | Organization |
| Organization Name | WELLSPRING FAMILY CLINIC |
| Practice Address |
4623 W Kenosha St Broken Arrow OK 74012-8975 |
| Practice Telephone | 9184610422 |
| Practice Fax Number | 9184610428 |
| Mailing Telephone | 9186930834 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | MRS. KRISTI GENE SAGER (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 9186930834 |
| Authorized Official Credential | APRN-CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | R0075262 | OK | Ambulatory Health Care Facilities |
| Street Address |
4623 W KENOSHA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182258 | Kristi Gene Sager | Nurse Practitioner | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2006-02-08 |
| 1144616871 | Osu Center for Health Sciences | Clinic/Center | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669405437 | New Tradition Clinic LLC | Clinic/Center | 2021 S Elm Pl, Broken Arrow, OK 74012-7031 | 2006-07-07 |
| 1215571112 | Osu Center for Health Sciences | Clinic/Center | 118 W Commercial St, Broken Arrow, OK 74012-4011 | 2019-11-04 |
| 1528557386 | Osu Center for Health Sciences | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2018-05-08 |
| 1023542875 | Osu Center for Health Sciences | Clinic/Center | 4700 W Urbana St, Broken Arrow, OK 74012-5504 | 2017-04-19 |
| 1952841553 | Osu Center for Health Sciences | Clinic/Center | 701 W Queens St, Suite 100, Broken Arrow, OK 74012-1784 | 2017-03-01 |
| 1033577085 | Osu Center for Health Sciences | Clinic/Center | 4716 W Urbana St, Suite 1, Broken Arrow, OK 74012-5997 | 2016-02-05 |
| 1073987517 | Osu Center for Health Sciences | Clinic/Center | 4716 W Urbana St, Broken Arrow, OK 74012-5997 | 2015-11-20 |
| 1053782300 | Ent and Sinus Solutions LLC | Clinic/Center | 4716 W Urbana St, Suite B, Broken Arrow, OK 74012-5997 | 2015-10-13 |
| 1144616871 | Osu Center for Health Sciences | Clinic/Center | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2015-04-09 |
| 1518232230 | Melissa Morgan Md PC | Clinic/Center | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2012-03-13 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on WELLSPRING FAMILY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.