BENNETT CLINIC, PC – NPI #1770886426
Clinic/Center

BENNETT CLINIC, PC is an AHC clinic located in BEAVER, OK. NPPES has assigned the NPI number 1770886426 to BENNETT CLINIC, PC on December 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 15 years ago on Apr 05, 2011. 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 BENNETT CLINIC, PC below.

NPI Profile for
BENNETT CLINIC, PC

NPI Number
1770886426
Enumeration Date

(more than 15 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
BENNETT CLINIC, PC
Primary location
623 AVENUE C
BEAVER, OK 73932-3126
Phone: (580) 625-2273 Fax: (580) 625-2274
Mailing address
PO BOX 964
BEAVER, OK 73932-0964
Phone: (580) 625-2273 Fax: (580) 625-2274
Organization Subpart
No
Authorized Official
ALLISON BENNETT
OWNER/FAMILY NURSE PRACTITIONER
Phone: (580) 625-2273
Updated
Identifiers

Identifiers for BENNETT CLINIC, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200317900A
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.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 OK R0071654

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.