WILDHORSE FAMILY PRACTICE & URGENT CARE (NPI# 1881931509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881931509 |
| Entity Type | Organization |
| Organization Name | WILDHORSE FAMILY PRACTICE & URGENT CARE |
| Practice Address |
1024 W Cherokee Sallisaw OK 74955 |
| Mailing Address |
26256 Caughron Rd Cameron OK 74932 |
| Practice Telephone | 9186477829 |
| Practice Fax Number | 9186543020 |
| Mailing Telephone | 9186477829 |
| Mailing Fax Number | 9186543020 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | LAMONA K ESTES (RN/CEO) |
| Authorized Official Telephone | 9186477829 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
OK | Ambulatory Health Care Facilities |
| Street Address |
1024 W CHEROKEE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518168 | Wildhorse Family Practice & Urgent Care Inc | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| 1194081547 | Peters Agency Hospice and Pallitative Care, LLC | Home Health | 1015 E. Choctaw, Sallisaw, OK 74955 | 2012-04-10 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851633671 | Peters Agency Hyperbarics LLC | Clinic/Center | 1015 E Choctaw Ave, Sallisaw, OK 74955-5011 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759519 | Arabella Medical Spa LLC | Clinic/Center | 701 S Mustang Rd, Yukon, OK 73099-6778 | 2020-01-13 |
| 1245763739 | Essence Massage | Clinic/Center | 782 E Pine St, Tulsa, OK 74106-5925 | 2017-04-11 |
| 1033521430 | The Back Stop LLC | Clinic/Center | 373 S Yukon Pkwy Ste C, Yukon, OK 73099-4597 | 2014-05-20 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1972863041 | Fgg LLC | Clinic/Center | 755 Jenkins Ave, Norman, OK 73069-4951 | 2012-05-23 |
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1922313972 | Clear Focus Cv Ultrasound Services | Clinic/Center | 502 Oak, Ardmore, OK 73401-3830 | 2010-08-15 |
| 1215172804 | Med-labs LLC | Clinic/Center | 11014 E 51st St, Tulsa, OK 74146-5820 | 2008-12-10 |
| 1316105844 | Taf Ancillary Medical Services Co | Clinic/Center | 300 W Osage St, Cleveland, OK 74020-4609 | 2008-05-31 |
| 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.