GREEN COUNTRY RURAL HEALTH CENTER - NPI 1083837439 - Family Medicine in South Coffeyville, OK

Q: What is Green Country Medical, Inc's NPI number?

The NPI number for Green Country Medical, Inc is 1083837439. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Green Country Rural Health Center.

Q: What is Green Country Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Green Country Rural Health Center NPPES

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

GREEN COUNTRY RURAL HEALTH CENTER (NPI 1083837439) is a healthcare organization registered as a family medicine in South Coffeyville, Oklahoma and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Lacee Hayes, Rn, as its authorized official.

NPPES Registry Identity

NPI1083837439

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGREEN COUNTRY MEDICAL, INC

Location Address228 WILLOWSouth Coffeyville, OK 74072

Mailing Address712 E Osage AveNowata, OK 74048-3638

Phone(918) 255-6000

Organization SubpartNo

Authorized OfficialLacee HayesRn · (918) 273-0140

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 10, 2008

✔ NPI 1083837439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

228 WILLOW, South Coffeyville, OK 74072

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Other Names 1

Doing Business AsGreen Country Rural Health Center

Other Identifiers 1

Medicaid100739790FOK

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 37D0473285

Green Country Medical, Inc · Nowata, OK

Active · expires Apr 14, 2028

CLIA Number37D0473285

Laboratory TypePhysician Office

Certificate Effective DateApril 15, 2026

Certificate Expiration DateApril 14, 2028

Laboratory DirectorDavid S. Caughell

Laboratory Phone(918) 273-0140

Laboratory LocationGreen Country Medical, Inc712 E Osage, Nowata, OK 74048

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 37D0949388

Green Country Medical Clinic · South Coffeyville, OK

Active · expires Jul 30, 2026

CLIA Number37D0949388

Laboratory TypePractitioner Other

Certificate Effective DateJuly 31, 2024

Certificate Expiration DateJuly 30, 2026

Laboratory DirectorDavid Caughell

Laboratory Phone(918) 255-6000

Laboratory LocationGreen Country Medical Clinic228 Willow Street, South Coffeyville, OK 74072

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 2

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

GREEN COUNTRY MEDICAL, INC

Family Medicine

228 WILLOW
SOUTH COFFEYVILLE, OK 74072

Nowata County (918) 255-6000

GREEN COUNTRY MEDICAL, INC.

Clinical Medical Laboratory

228 WILLOW
SOUTH COFFEYVILLE, OK 74072

Nowata County (918) 255-6000

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 Green Country Medical, Inc's NPI number?

The NPI number for Green Country Medical, Inc is 1083837439. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Green Country Rural Health Center.

Where is Green Country Medical, Inc located?

Green Country Medical, Inc is located at 228 Willow, South Coffeyville, OK 74072. The listed phone number is (918) 255-6000.

What is Green Country Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Green Country Medical, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Green Country Medical, Inc was last updated on July 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.