SOUTH WELLNESS COMMUNITY HEALTH CLINIC (NPI# 1235546961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235546961 |
| Entity Type | Organization |
| Organization Name | SOUTH WELLNESS COMMUNITY HEALTH CLINIC |
| Practice Address |
1122 Ne 13th St Ori 274 Oklahoma City OK 73117-1039 |
| Mailing Address |
2149 Sw 59th St Oklahoma City OK 73119-7033 |
| Practice Telephone | 4052715860 |
| Practice Fax Number | 4057786843 |
| Mailing Telephone | 4052715860 |
| Mailing Fax Number | 4057786843 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | BRIAN L MADDY (CEO) |
| Authorized Official Telephone | 4052713932 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
1122 NE 13TH ST ORI 274 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112347 | Rachel Hand | Physician Assistant | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2005-05-31 |
| 1093200453 | Thomas Viet Ha | Pharmacist | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2018-06-28 |
| 1730604836 | Lindsey Dena' Pearson | Nurse Practitioner | 1122 Ne 13th St, Ori 150, Oklahoma City, OK 73117-1039 | 2017-08-09 |
| 1487019659 | Leslie Chandler | Nurse Practitioner | 1122 Ne 13th St, Ori236, Oklahoma City, OK 73117-1039 | 2015-12-15 |
| 1205236767 | Rebecca Marie Tripp | Registered Nurse | 1122 Ne 13th St, Suite Ori 236, Oklahoma City, OK 73117-1039 | 2014-09-02 |
| 1477965408 | Terad Talmesany | Internal Medicine | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2014-05-26 |
| 1801218128 | Julie Nelson | Psychologist | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2014-01-07 |
| 1881948131 | Rhonda Jean Coleman-jackson | Clinical Nurse Specialist | 1122 Ne 13th St, Ori 236, Oklahoma City, OK 73117-1039 | 2012-11-07 |
| 1235405028 | Ou Physicians | General Acute Care Hospital | 1122 Ne 13th St, Ori-236, Oklahoma City, OK 73117-1039 | 2012-03-27 |
| 1568754448 | Panayiotis Diomedes Tsitouras | Internal Medicine | 1122 Ne 13th St, Orb 150, Oklahoma City, OK 73117-1039 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117885 | Christ Community Health Coalition | Clinic/Center | 101 Sw 25th St, Oklahoma City, OK 73109-6019 | 2020-09-08 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1194944272 | City Rescue Mission Medical Clinic | Clinic/Center | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2007-04-25 |
| 1861868259 | Passport Health of Oklahoma | Clinic/Center | 3000 United Founders Blvd, Suite 137, Oklahoma City, OK 73112-3958 | 2015-08-19 |
| 1255621173 | Intergrated Comprehensive Health Care Services | Clinic/Center | 8101 Nw 10th St, Suite B Room 7&8, Oklahoma City, OK 73127-2974 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733782 | Eastpointe Medical Clinic Inc | Clinic/Center | 1506 S Broadway St, Poteau, OK 74953-2900 | 2015-10-27 |
| 1275897357 | Andre Christopher Post | Clinic/Center | 2921 E 91st S, Tulsa, OK 74137-3322 | 2012-07-03 |
| 1588982714 | Home Health Partners, LLC | Clinic/Center | 3505 S 113th West Ave, Ste C, Sand Springs, OK 74063-2720 | 2010-05-12 |
| 1194840389 | Hope Center Health Clinic | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-03-20 |
| 1093860272 | Stillwater Chiropractic Clinic Inc | Clinic/Center | 211 N Perkins Rd Ste 20, Stillwater, OK 74075-5518 | 2007-01-25 |
| 1063036424 | Restorer of Youth and Families LLC | Clinic/Center | 1831 E 71st St, Tulsa, OK 74136-3922 | 2020-06-02 |
| 1265975668 | Three Rivers Health Center Muskogee | Clinic/Center | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2016-12-02 |
| 1871048249 | Jimmy Keith Ogden, Dc, PC | Clinic/Center | 3711 Chandler Rd, Muskogee, OK 74403-4930 | 2016-08-16 |
| 1639537194 | Garland Kent II | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-29 |
| 1255797460 | Latasha Leon | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
Please comment or provide details below to improve the information on SOUTH WELLNESS COMMUNITY 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.