SEMINOLE HMA LLC (NPI# 1689177370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689177370 |
| Entity Type | Organization |
| Organization Name | SEMINOLE HMA LLC |
| Other Organization Name | ALLIANCEHEALTH CLINIC SHAWNEE |
| Practice Address |
3700 N Kickapoo Ave Ste 124 Shawnee OK 74804-0007 |
| Practice Telephone | 4052736383 |
| Practice Fax Number | 4052141078 |
| Mailing Telephone | 4052736383 |
| Mailing Fax Number | 4052141078 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | PAULA LALOR (DIRECTOR / DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
2342 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AllianceHealth Clinic Shawnee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114414760 | Seminole Hma LLC | Clinic/Center | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2018-04-19 |
| 1477080554 | Seminole Hma LLC | Family Medicine | 2401 W Wrangler Blvd, Seminole, OK 74868-1917 | 2017-05-19 |
| 1841730017 | Seminole Hma LLC | Clinic/Center | 2401 W Wrangler Blvd, Seminole, OK 74868-1917 | 2017-03-07 |
| Street Address |
3700 N KICKAPOO AVE STE 124 |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-0007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986762 | Kelly Lucas | Nurse Practitioner | 3700 N Kickapoo Ave Ste 124, Shawnee, OK 74804-0007 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1275133993 | Integris Grove Hospital | Clinic/Center | 216 S 7th St Ste 1, Vinita, OK 74301-3720 | 2020-10-30 |
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1699385278 | Verdigris Valley Family Medicine LLC | Clinic/Center | 25965 S Highway 66 Ste B, Claremore, OK 74019-2468 | 2020-08-07 |
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1275161457 | Drumright Community Hospital LLC | Clinic/Center | 612 W Bypass, Drumright, OK 74030-5957 | 2020-04-01 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
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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.