COLLINSVILLE FAMILY CLINIC INC. NPI 1235259573

NPI Information

  • NPI: 1235259573
  • Provider Name: COLLINSVILLE FAMILY CLINIC, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1205 W MAIN ST
    COLLINSVILLE, OK
    ZIP 74021
  • Phone: (918) 371-6022

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NPI Details

COLLINSVILLE FAMILY CLINIC, INC. is a family medicine in Collinsville, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLLINSVILLE FAMILY CLINIC, INC. NPI is 1235259573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 W MAIN ST
COLLINSVILLE, OK
ZIP 74021-114
Phone: (918) 371-6022
Fax: (918) 371-3168

The provider's authorized official is Jerry D. Patton .
The authorized official title is Owner and has the following contact phone number (918) 371-6022.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 3/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1872OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1440428709MEDICARE PINOKLAHOMA
2E09745MEDICARE UPINOKLAHOMA
3100251820AMEDICAIDOKLAHOMA
41801890454OTHEROKLAHOMANPI INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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