THE MEDICAL CLINIC, INC (NPI# 1790028496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790028496 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CLINIC, INC |
| Practice Address |
1630 Santa Fe St. Waynoka OK 73860-0000 |
| Mailing Address |
1630 Santa Fe St Waynoka OK 73860-0000 |
| Practice Telephone | 5808240330 |
| Practice Fax Number | 5808240939 |
| Mailing Telephone | 5808240330 |
| Mailing Fax Number | 5808240939 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | DR. SUSAN M HULL (OWNER) |
| Authorized Official Telephone | 5808240330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
28454 | OK | Ambulatory Health Care Facilities |
| Street Address |
1630 SANTA FE ST. |
| City | WAYNOKA |
| State | OK |
| Zip Code | 73860-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638648 | Milissa A Britt | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2018-11-19 |
| 1619470507 | Shonda Russell | Case Management | 1095 S. Nickerson St., Waynoka, OK 73860 | 2018-03-16 |
| 1962660738 | Susan M Hull | Internal Medicine | 1630 Santa Fe, Waynoka, OK 73860 | 2008-05-29 |
| 1588669428 | Charlene Elaine Reust | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860 | 2005-06-16 |
| 1518421668 | Dian Linnea Frey | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2019-01-23 |
| 1760450472 | Elizabeth Romanik Kinzie | Internal Medicine | 1084 Nickerson St, Waynoka, OK 73860 | 2006-03-09 |
| 1043213002 | City of Waynoka | Ambulance | 201 E Cecil St, Waynoka, OK 73860-1233 | 2005-05-24 |
| 1124029293 | Integris Bass Baptist Health Center | Family Medicine | 1084 Nickerson St, Waynoka, OK 73860-1245 | 2005-08-10 |
| 1427059179 | Jeffery S Schwerdtfeger | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860-1245 | 2005-08-03 |
| 1780718478 | Lois Arleta Smith | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2007-03-15 |
| Find all providers in zip 73860 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| 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.