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WEWOKA MEDICAL RURAL HEALTH CLINIC
NPI 1033103452
Clinic/Center - Rural Health in Wewoka, OK

Active since August 31, 2005
1401 W 1ST ST, WEWOKA, OK 74884(405) 257-3396(405) 257-6908 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wewoka Medical Rural Health Clinic NPPES

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

WEWOKA MEDICAL RURAL HEALTH CLINIC (NPI 1033103452) is a healthcare organization registered as a rural health in Wewoka, Oklahoma and active in the NPI registry since August 2005. The organization lists Glenn Alvin Crowson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033103452
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGLENN CROWSON MD INC
Location Address1401 W 1ST STWewoka, OK 74884-5097
Mailing AddressPo Box 1093Wewoka, OK 74884-1093 · (405) 257-3396 · Fax (405) 257-6908
Phone(405) 257-3396
Fax(405) 257-6908
Organization SubpartNo
Authorized OfficialGlenn Alvin CrowsonCeo · (405) 257-3396
Enumeration DateAugust 31, 2005
Last NPPES UpdateJune 11, 2015
✔ NPI 1033103452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in OK · 13854
Also ListedFamily MedicineTaxonomy 207Q00000X · License 13854 (OK)
Also ListedNurse PractitionerTaxonomy 363L00000X · License R0073222 (OK)
1401 W 1ST ST, Wewoka, OK 74884
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Other Names 1

Doing Business AsWewoka Medical Rural Health Clinic

Other Identifiers 10

Medicare ID-Type Unspecified373825OK · Rural Health Clinic
Medicare UPINC94817OK
Medicare ID-Type Unspecified248324601OK · Nurse Prac Medicare
Medicare ID-Type Unspecified400522089OK · Group Medicare
Medicare ID-Type Unspecified459600559OK · Physician Medicare B
Medicaid100156370AOK
Medicaid200015980AOK
Medicaid100740370BOK
Medicaid100740370COK
Medicare UPINP95285OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLDENVILLE HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
1401 W 1ST ST
WEWOKA, OK 74884
Seminole County (405) 257-3396
DR. HEIDI L HAISLIP M.D.
Family Medicine
1401 W 1ST ST
WEWOKA, OK 74884
Seminole County (405) 257-3396
AMY MARIE ASHLEY APRN-CNP
Nurse Practitioner (Family)
1401 W 1ST ST
WEWOKA, OK 74884
Seminole County (405) 257-3396

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 Glenn Crowson MD Inc's NPI number?

The NPI number for Glenn Crowson MD Inc is 1033103452. It was assigned to this organization in the NPPES registry on August 31, 2005. The provider is doing business as Wewoka Medical Rural Health Clinic.

Where is Glenn Crowson MD Inc located?

Glenn Crowson MD Inc is located at 1401 W 1st St, Wewoka, OK 74884. The listed phone number is (405) 257-3396.

What is Glenn Crowson MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Glenn Crowson MD Inc was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.