SAM HIDER COMMUNITY CLINIC NPI 1659597706

NPI Information

NPI: 1659597706
Provider Name: SAM HIDER COMMUNITY CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 37D0656713

Address:
1015 WASHBURN
JAY, OK
ZIP 74346
Phone: (918) 253-4271
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SAM HIDER COMMUNITY CLINIC is a family nurse practitioner in Jay, OK. SAM HIDER COMMUNITY CLINIC NPI is 1659597706. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1015 WASHBURN
JAY, OK
ZIP 74346
Phone: (918) 253-4271

The provider's authorized official is Patricia A Postier .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (918) 253-4271.

The CLIA number assigned to this NPI record is 37D0656713 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/17/2007 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
1	363LF0000X	Nurse Practitioner	Family	R0068852	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	8EC410	OTHER	OKLAHOMA	PROVIDER

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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