JWGLLC NPI 1972231041

NPI Information

  • NPI: 1972231041
  • Provider Name: JWGLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 712 NORTH MCKINLEY AVE
    CALERA, OK
    ZIP 74730
  • Phone: (580) 434-6512

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NPI Details

JWGLLC is a primary care clinic center in Calera, OK. JWGLLC NPI is 1972231041. The provider is registered as an organization entity type.

The provider's business location address is:

712 NORTH MCKINLEY AVE
CALERA, OK
ZIP 74730
Phone: (580) 434-6512
Fax: (580) 434-6513

The provider's authorized official is Emily Ruth Love .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (580) 980-0945.

The enumeration date for this NPI number is 8/8/2022 and was last updated on 8/8/2022.

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
1261QR1300XClinic/CenterRural HealthNo
2261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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