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Contact Information

PUSHMATAHA FAMILY MEDICAL CENTER, INC
109 STANLEY ROAD
CLAYTON, OK74536
 Phone: 918-569-4143
 Fax: 918-569-7343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for PUSHMATAHA FAMILY MEDICAL CENTER, INC

NPI Number 1891882676
LBN Legal business name PUSHMATAHA FAMILY MEDICAL CENTER, INC
Authorized official ANGELA BATTON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 11/17/2025 - About 7 months ago
Identifiers
OK Medicaid 200072150B
OK Other 37D0669928 CLIA
OK Other 622460 UNIVERSAL DATA SYSTEM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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