COLLINSVILLE FAMILY CLINIC, INC. – NPI #1235259573
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

COLLINSVILLE FAMILY CLINIC, INC. is a provider located in COLLINSVILLE, OK. NPPES has assigned the NPI number 1235259573 to COLLINSVILLE FAMILY CLINIC, INC. on March 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Mar 12, 2009. 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 COLLINSVILLE FAMILY CLINIC, INC. below.

NPI Profile for
COLLINSVILLE FAMILY CLINIC, INC.

NPI Number
1235259573
Enumeration Date

(more than 19 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
COLLINSVILLE FAMILY CLINIC, INC.
Primary location
1205 W MAIN ST
COLLINSVILLE, OK 74021-3114
Phone: (918) 371-6022 Fax: (918) 371-3168
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY PATTON
OWNER
Phone: (918) 371-6022
Updated
Identifiers

Identifiers for COLLINSVILLE FAMILY CLINIC, INC.

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
OTHERNPI INDIVIDUALOK1801890454
MEDICAIDOK100251820A
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
207Q00000X
- Family Medicine (Primary)
OK 1872

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.