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401 MEDICAL CENTER PLLC
NPI 1063296937
Clinic/Center - Primary Care in Tahlequah, OK

Active since August 22, 2023CLIA 37D2283496 · Waiver
401 E DOWNING ST, TAHLEQUAH, OK 74464(918) 316-3764(918) 398-8982 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 401 Medical Center Pllc NPPES

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

401 MEDICAL CENTER PLLC (NPI 1063296937), doing business as 401 Medical Center, is a healthcare organization registered as a primary care in Tahlequah, Oklahoma and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Nancy E. Denton, Owner/ Aprn, as its authorized official.

NPPES Registry Identity

NPI1063296937
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business Name401 MEDICAL CENTER PLLC
Location Address401 E DOWNING STTahlequah, OK 74464-3015
Mailing Address401 E Downing StTahlequah, OK 74464-3015 · (918) 316-3764 · Fax (918) 398-8982
Phone(918) 316-3764
Fax(918) 398-8982
Organization SubpartNo
Authorized OfficialNancy E. DentonOwner/ Aprn · (918) 316-6369
Enumeration DateAugust 22, 2023
Last NPPES UpdateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1063296937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
401 E DOWNING ST, Tahlequah, OK 74464
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Other Names 1

Former Legal Business Name401 Medical Center

Other Identifiers 2

Other1013603232OK · Npi
Medicaid201173250AOK

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 Waiver 37D2283496

401 Medical Center · Tahlequah, OK
Active · expires Jun 7, 2027
CLIA Number37D2283496
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorNancy E. Denton
Laboratory Phone(918) 316-3764
Laboratory Location401 Medical Center401 E Downing St, Tahlequah, OK 74464
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NANCY ELLEN DENTON APRN-CNP
Nurse Practitioner (Family)
401 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 316-6369
SETH GARRETT MOORE
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 734-2711
MOORE IMBIBITION LLC
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-1300
MILLER CHIROPRACTIC CLINIC, INC.
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-1300

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 401 Medical Center PLLC's NPI number?

The NPI number for 401 Medical Center PLLC is 1063296937. It was assigned to this organization in the NPPES registry on August 22, 2023. The provider was formerly known as 401 Medical Center.

Where is 401 Medical Center PLLC located?

401 Medical Center PLLC is located at 401 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 316-3764.

What is 401 Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does 401 Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2283496) is associated with this NPI, valid through June 7, 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 401 Medical Center PLLC was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.