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WELLSTON FAMILY MEDICAL CLINIC PLLC NPI 1023348059


NPI Information

NPI: 1023348059
Provider Name: WELLSTON FAMILY MEDICAL CLINIC, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
309 W. 2ND ST.
WELLSTON, OK
ZIP 74881
Phone: (405) 356-2998
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WELLSTON FAMILY MEDICAL CLINIC, PLLC is a primary care clinic center in Wellston, OK. WELLSTON FAMILY MEDICAL CLINIC, PLLC NPI is 1023348059. The provider is registered as an organization entity type.

The provider's business location address is:

309 W. 2ND ST.
WELLSTON, OK
ZIP 74881
Phone: (405) 356-2998
Fax: (405) 258-0498

The provider's authorized official is Sherry Diann Mitchell .
The authorized official title is Arnp and has the following contact phone number (405) 258-3971.

The enumeration date for this NPI number is 1/14/2010 and was last updated on 1/27/2010.


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
1261QP2300XClinic/CenterPrimary CareR0080778OKLAHOMAYes

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

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