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ARBUCKLE CLINIC AT DAVIS
NPI 1013215839
Clinic/Center - Medical Specialty in Davis, OK

Active since March 02, 2011CLIA 37D0470045 · Certificate of Compliance
610 E MAIN ST, DAVIS, OK 73030(580) 369-3500(580) 369-3513 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arbuckle Clinic At Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARBUCKLE CLINIC AT DAVIS (NPI 1013215839) is a healthcare organization registered as a medical specialty in Davis, Oklahoma and active in the NPI registry since March 2011. The organization holds a CLIA Certificate of Compliance certificate valid through January 10, 2027 and lists Bruce Stewart Gilmore, Physician, as its authorized official.

NPPES Registry Identity

NPI1013215839
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameARBUCKLE MEMORIAL HOSPITAL
Location Address610 E MAIN STDavis, OK 73030-1912
Mailing Address2011 W Broadway AveSulphur, OK 73086-4221 · (580) 369-3500 · Fax (580) 369-3513
Phone(580) 369-3500
Fax(580) 369-3513
Organization SubpartNo
Authorized OfficialBruce Stewart GilmorePhysician · (580) 369-3500
Enumeration DateMarch 2, 2011
Last NPPES UpdateMarch 9, 2011
✔ NPI 1013215839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
610 E MAIN ST, Davis, OK 73030
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Other Names 1

Doing Business AsArbuckle Clinic At Davis

Other Identifiers 1

Medicaid100700790GOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D0470045

Arbuckle Memorial Hospital · Sulphur, OK
Active · expires Jan 10, 2027
CLIA Number37D0470045
Laboratory TypeHospital
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorBryce Bliss
Laboratory Phone(580) 622-8266
Laboratory LocationArbuckle Memorial Hospital2011 W Broadway Ave, Sulphur, OK 73086
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arbuckle Memorial Hospital's NPI number?

The NPI number for Arbuckle Memorial Hospital is 1013215839. It was assigned to this organization in the NPPES registry on March 2, 2011. The provider is doing business as Arbuckle Clinic At Davis.

Where is Arbuckle Memorial Hospital located?

Arbuckle Memorial Hospital is located at 610 E Main St, Davis, OK 73030. The listed phone number is (580) 369-3500.

What is Arbuckle Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Arbuckle Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D0470045) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arbuckle Memorial Hospital was last updated on March 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.