ARDMORE FAMILY HEALTH CARE PLLC NPI 1407863053

NPI Information

  • NPI: 1407863053
  • Provider Name: ARDMORE FAMILY HEALTH CARE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 37D2017241
  • Address: 812 12TH AVE NW
    ARDMORE, OK
    ZIP 73401
  • Phone: (580) 223-1313

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NPI Details

ARDMORE FAMILY HEALTH CARE, PLLC is a family medicine in Ardmore, 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. ARDMORE FAMILY HEALTH CARE, PLLC NPI is 1407863053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

812 12TH AVE NW
ARDMORE, OK
ZIP 73401-708
Phone: (580) 223-1313
Fax: (580) 223-1629

The provider's authorized official is Kevin J Shelton .
The authorized official title is Director and has the following contact phone number (580) 223-1313.

The CLIA number assigned to this NPI record is 37D2017241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/22/2020.

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 Medicine21765OKLAHOMAYes

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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