SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC. (NPI# 1366585564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366585564 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC. |
Practice Address |
216 S Main St Lindsay OK 73052-5634 |
Practice Telephone | 4057561414 |
Practice Fax Number | 4057561162 |
Mailing Telephone | 4057561414 |
Mailing Fax Number | 4057561162 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2019-10-11 |
Authorized Official Name | MRS. LACY LEE CURRY (CEO) |
Authorized Official Telephone | 4057561414 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200104590A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2222 W Iowa Ave, Chickasha, OK 730182738 | 4057561414 | 4057561162 |
707 W Comanche St, Lindsay, OK 730527035 | 4057561414 | |
504 Williams, Maysville, OK 730573679 | 4057561414 | 4057561162 |
Street Address |
216 S MAIN ST |
City | LINDSAY |
State | OK |
Zip Code | 73052-5634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548246705 | Shahan Therapy Center PC | Physical Therapist | 216 S Main St, Ste B, Lindsay, OK 73052-5634 | 2005-12-20 |
1093377095 | Sean Kelly Baker | Family Medicine | 216 S Main St, Lindsay, OK 73052-5634 | 2019-07-01 |
1609259365 | Mental Health Services of Southern Oklahom | Community/Behavioral Health | 216 S Main St, Lindsay, OK 73052-5634 | 2015-06-30 |
1548608185 | Novyce V Ferguson | Nurse Practitioner | 216 S Main St, Lindsay, OK 73052-5634 | 2013-06-05 |
1730450842 | Charles B Jones | Physician Assistant | 216 S Main St, Lindsay, OK 73052-5634 | 2012-01-20 |
1174810865 | Crista Jill Northington | Counselor | 216 S Main St, Lindsay, OK 73052-5634 | 2011-07-01 |
1053354563 | Don Keith Ferguson | Emergency Medicine | 216 S Main St, Lindsay, OK 73052-5634 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063068088 | Malori Lawrence | Nurse Practitioner | 707 W Comanche, Lindsay, OK 73052 | 2019-08-15 |
1689186306 | Joseph Benjamin Vandaveer | Physical Therapist | 301 E Cherokee St, Lindsay, OK 73052 | 2017-11-03 |
1962877621 | Michelle Lee Thornton | Social Worker | 15514 E County Road 1585, Lindsay, OK 73052 | 2015-12-07 |
1801287701 | Heather Jean Walker | Nurse Practitioner | 301 E Cherokee St Ste F, Lindsay, OK 73052 | 2015-02-12 |
1639434855 | Haley M Smith | Behavioral Analyst | 707 W. Comanche St., Lindsay, OK 73052 | 2012-07-13 |
1891823894 | Main Clinic PC | Family Medicine | 216 S Main, Lindsay, OK 73052 | 2007-03-01 |
1720169808 | James M Shelton | Dentist | 102 Sw 7 Th St, Lindsay, OK 73052 | 2006-10-17 |
1417038589 | Lindsay Family Dentistry | Dentist | 102 Sw 7th St., Lindsay, OK 73052 | 2006-10-17 |
1497869747 | Kari K Wahnee | Physician Assistant | 1305 W Cherokee, Lindsay, OK 73052 | 2006-08-17 |
1306866827 | Kamil S Nemri | Family Medicine | 1305 W. Cherokee, Lindsay, OK 73052 | 2006-07-20 |
Find all providers in zip 73052 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
1669400164 | County of Tulare | Clinic/Center | 845 Sequoia Ave, Lindsay, CA 93247-1424 | 2006-06-30 |
1760013650 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 4, Lindsay, CA 93247-1448 | 2020-01-29 |
1750898805 | Avenal Community Health Center | Clinic/Center | 973 Sequoia Ave, Lindsay, CA 93247-1426 | 2018-01-10 |
1801347885 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave, Suite 1, Lindsay, CA 93247 | 2016-10-14 |
1437607728 | Avenal Community Health Center | Clinic/Center | 755 Sequoia Ave, Suite B, Lindsay, CA 93247 | 2016-09-14 |
1427506716 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 2, Lindsay, CA 93247 | 2016-09-14 |
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1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
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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.