STOVER FAMILY CLINIC NPI 1922467505

NPI Information

  • NPI: 1922467505
  • Provider Name: STOVER FAMILY CLINIC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 37D2105240
  • Address: 813 VETERANS WAY
    BROKEN BOW, OK
    ZIP 74728
  • Phone: (580) 584-6600

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NPI Details

STOVER FAMILY CLINIC is a health service clinic center in Broken Bow, OK. STOVER FAMILY CLINIC NPI is 1922467505. The provider is registered as an organization entity type.

The provider's business location address is:

813 VETERANS WAY
BROKEN BOW, OK
ZIP 74728
Phone: (580) 584-6600
Fax: (580) 584-6603

The provider's authorized official is Rebecca Renee Stover .
The authorized official title is Owner and has the following contact phone number (580) 584-6600.

The CLIA number assigned to this NPI record is 37D2105240 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/11/2016.

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
1261QH0100XClinic/CenterHealth ServiceR0096200OKLAHOMAYes

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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