National Provider Identifier Database

PUSHMATAHA FAMILY MEDICAL CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

PUSHMATAHA FAMILY MEDICAL CENTER, INC
109 STANLEY ROAD
CLAYTON, OK74536
Phone: 918-569-4143
Fax: 918-569-7343
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for PUSHMATAHA FAMILY MEDICAL CENTER, INC

NPI Number 1891882676
Legal business name
LBN
PUSHMATAHA FAMILY MEDICAL CENTER, INC
Authorized official ANGELA BATTON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/05/2006
Last updated 11/17/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200072150B
  • OK Other: 37D0669928 CLIA
  • OK Other: 622460 UNIVERSAL DATA SYSTEM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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