ROWLAND-ELLIS-FLATT HUGO RURAL HEALTH CLINIC (NPI# 1235300575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235300575 |
| Entity Type | Organization |
| Organization Name | ROWLAND-ELLIS-FLATT HUGO RURAL HEALTH CLINIC |
| Other Organization Name | HUGO RURAL HEALTH CLINIC |
| Practice Address |
1201 E Jackson St Hugo OK 74743-4229 |
| Practice Telephone | 5803266423 |
| Practice Fax Number | 5803263660 |
| Mailing Telephone | 5803266423 |
| Mailing Fax Number | 5803263660 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | DR. VICTORIA ELAINE PARDUE (PHYSICAIN, OWNER/PARTNER) |
| Authorized Official Telephone | 5803266423 |
| Authorized Official Credential | D.O, |
| Is Organization Subpart | Y |
| Parent Organization Name | ROWLAND-ELLIS-FLATT CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100708140C | 05 |
| Other Name | Type Code |
|---|---|
| Hugo Rural Health Clinic | Doing Business As Name - Organization |
| Street Address |
1201 E JACKSON ST |
| City | HUGO |
| State | OK |
| Zip Code | 74743-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099860 | Teddy Ray Rowland | Family Medicine | 1201 E Jackson St, Hugo, OK 74743-4229 | 2005-10-31 |
| 1871096958 | Larry Leon Burns Jr. | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2018-03-14 |
| 1740643287 | Kathy Bryant | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2016-04-01 |
| 1184098246 | Chauntel Joyce Ditommaso | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2015-11-30 |
| 1538551379 | Meredith Rowland | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2015-03-03 |
| 1477957355 | Emily Dunlap | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-10-21 |
| 1760882252 | Larry Burns | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-09-03 |
| 1427466259 | Rowland Flatt Clinic | Clinic/Center | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-07-24 |
| 1639452642 | Rowland Flatt Clinic | Family Medicine | 1201 E Jackson St, Hugo, OK 74743-4229 | 2011-09-26 |
| 1831313568 | Rowland Flatt Hugo Rural Health Clinic | Clinic/Center | 1201 E Jackson St, Hugo, OK 74743-4229 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657360 | Chrom Medical Labs | Clinical Medical Laboratory | 12816 S Memorial Dr Unit 121, Bixby, OK 74008-2593 | 2020-10-21 |
| 1043835143 | Qitek Labs of Oklahoma, LLC | Clinical Medical Laboratory | 3636 Nw 63rd St Ste C, Oklahoma City, OK 73116-2011 | 2020-06-15 |
| 1790307395 | Arc Diagnostics, LLC | Clinical Medical Laboratory | 8551 N 125th East Ave Ste 150, Owasso, OK 74055-2110 | 2020-05-18 |
| 1487275699 | Stateline Medical Lab LLC | Clinical Medical Laboratory | 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 | 2020-04-28 |
| 1417583162 | Imaginus Diagnostic Laboratory LLC | Clinical Medical Laboratory | 17673 Us Highway 271, Spiro, OK 74959-5300 | 2020-03-13 |
| 1366089633 | Wellness Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 120, Tulsa, OK 74105-6563 | 2019-12-05 |
| 1669021622 | National Laboratory Corporation | Clinical Medical Laboratory | 5805 E 15th St Ste 104, Tulsa, OK 74112-6401 | 2019-09-11 |
| 1720636806 | Axiom Biogenomics, LLC | Clinical Medical Laboratory | 7335 S Lewis Ave Ste 120, Tulsa, OK 74136-6830 | 2019-08-31 |
| 1881178010 | Progentec Diagnostics Inc. | Clinical Medical Laboratory | 825 Ne 13th St Ste Mc302.4, Oklahoma City, OK 73104-5005 | 2018-09-24 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROWLAND-ELLIS-FLATT HUGO RURAL HEALTH 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.