FAMILY 1ST HEALTH CARE OF KINGFISHER APRN-CNP PLLC NPI 1518226562

NPI Information

NPI: 1518226562
Provider Name: FAMILY 1ST HEALTH CARE OF KINGFISHER APRN-CNP, PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 37D2040119

Address:
1610 S MAIN ST
KINGFISHER, OK
ZIP 73750
Phone: (405) 375-5222
Get Directions

FAMILY 1ST HEALTH CARE OF KINGFISHER APRN-CNP, PLLC is a health service clinic center in Kingfisher, OK. FAMILY 1ST HEALTH CARE OF KINGFISHER APRN-CNP, PLLC NPI is 1518226562. The provider is registered as an organization entity type.

The provider's business location address is:

1610 S MAIN ST
KINGFISHER, OK
ZIP 73750-600
Phone: (405) 375-5222
Fax: (405) 375-5234

The provider's authorized official is Melissa Meagan States .
The authorized official title is Owner/provider and has the following contact phone number (405) 375-5222.

The CLIA number assigned to this NPI record is 37D2040119 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2012 and was last updated on 4/17/2013.

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
1	261QH0100X	Clinic/Center	Health Service	R0071397	OKLAHOMA	Yes

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
1	OKA105678	MEDICARE PIN	OKLAHOMA
2	200438900A	MEDICAID	OKLAHOMA

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: 5/5/2024

NPI Synchronization or Removal

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