GSP HEALTH MEDFORD – NPI #1699025973
Clinic/Center

GSP HEALTH MEDFORD is an AHC clinic located in MEDFORD, OK. NPPES has assigned the NPI number 1699025973 to GSP HEALTH MEDFORD on September 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GSP HEALTH MEDFORD” is a dba name, the actual legal business name for this organization is GREAT SALT PLAINS HEALTH CENTER, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Sep 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GSP HEALTH MEDFORD below.

NPI Profile for
GREAT SALT PLAINS HEALTH CENTER, INC.

NPI Number
1699025973
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT SALT PLAINS HEALTH CENTER, INC.
Doing Business As (dba): GSP HEALTH MEDFORD
Primary location
619 FRONT STREET
MEDFORD, OK 73759-1209
Phone: (580) 395-3200 Fax: (580) 596-2805
Mailing address
405 S OKLAHOMA AVE
CHEROKEE, OK 73728-2545
Phone: (580) 596-2800 Fax: (580) 596-2805
Organization Subpart
Yes - GSP HEALTH MEDFORD is subpart of another organization.
Authorized Official
TIM STARKEY
CEO
Phone: (580) 596-2800
Updated
Certification Date
Sep 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.