WALTERS FAMILY CLINIC – NPI #1346428521
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

WALTERS FAMILY CLINIC is a provider located in WALTERS, OK. NPPES has assigned the NPI number 1346428521 to WALTERS FAMILY CLINIC on February 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LARRY GOSS M.D.. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Jun 06, 2008. 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 WALTERS FAMILY CLINIC below.

NPI Profile for
WALTERS FAMILY CLINIC

NPI Number
1346428521
Enumeration Date

(more than 18 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
WALTERS FAMILY CLINIC
Former Legal Business Name: LARRY GOSS M.D.
Primary location
102 N BROADWAY ST
WALTERS, OK 73572-1258
Phone: (580) 875-3320 Fax: (580) 875-3131
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GLORIA VAUGHN
OFFICE MANAGER
Phone: (580) 875-3320
Updated
Identifiers

Identifiers for WALTERS FAMILY CLINIC

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
OTHERCLIAOK37D1084232
MEDICAIDOK200134580A
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
208D00000X
- General Practice (Primary)		 OK 10340

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.