SEQUOYAH COUNTY CITY TRUST NPI 1417072117

NPI Information

  • NPI: 1417072117
  • Provider Name: SEQUOYAH COUNTY CITY TRUST
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: SMH CLINIC
  • Address: 213 E REDWOOD AVE
    SALLISAW, OK
    ZIP 74955
  • Phone: (918) 774-1100

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NPI Details

SEQUOYAH COUNTY CITY TRUST is a medical specialty clinic center in Sallisaw, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SEQUOYAH COUNTY CITY TRUST NPI is 1417072117. The provider is registered as an organization entity type.
The provider Is Doing Business As Smh Clinic.

The provider's business location address is:

213 E REDWOOD AVE
SALLISAW, OK
ZIP 74955-811
Phone: (918) 774-1100
Fax: (918) 774-1103

The provider's authorized official is Charles E. Wade .
The authorized official title is Ceo and has the following contact phone number (918) 774-1100.

The enumeration date for this NPI number is 3/20/2007 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
1261QM2500XClinic/CenterMedical Specialty2189OKLAHOMAYes

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: 11/21/2025

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