NPI 1710311154 · live from the CMS NPI Registry
Acadia Family Medical Clinic L.L.C.
Clinic/Center, Primary Care in Pawhuska, OK. National Provider Identifier 1710311154, active.
NPI record
| NPI | 1710311154 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Primary Care 261QP2300X |
| Practice location | 230 E 5th St, Pawhuska, OK 74056 |
| Practice phone | 918-287-9112 |
| Enumerated | August 21, 2013 |
| Last updated | May 18, 2014 |
| Authorized official | Theresa Flowerette, Owner/Provider |
| Other names | Acadia Family Medical Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 70154 (OK) |
| Family Medicine | 207Q00000X | 27629 (OK) |
| 208VP0000X | 27629 (OK) | |
| Clinic/Center, Primary Care primary | 261QP2300X | 3512416926 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.