HCC OF SHATTUCK, LLC
NPI 1124661624
Emergency Medicine in Shattuck, OK

Active since October 28, 2019
905 S MAIN ST, SHATTUCK, OK 73858(580) 938-2551 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2020, Oct 28, 2019 (2 updates tracked since 2019).

  • Organization
  • Emergency Medicine

About HCC OF SHATTUCK, LLC

This page provides the complete NPI Profile along with additional information for Hcc Of Shattuck, Llc, a provider established in Shattuck, Oklahoma operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124661624 assigned on October 2019. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Hcc Of Shattuck, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dawn Bolar (Ceo)

NPI
1124661624 Verify this NPI
Provider Name
HCC OF SHATTUCK, LLC
Entity Type
Organization
Location Address
905 S MAIN ST SHATTUCK, OK 73858
Location Phone
(580) 938-2551
Mailing Address
7725 W RENO AVE STE 150 OKLAHOMA CITY, OK 73127
Mailing Phone
(800) 962-3303
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2019
Last Update Date
10-28-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAWN BOLAR

Authorized Official Title
CEO
Authorized Official Phone
(972) 934-3200

Reviews for HCC OF SHATTUCK, LLC

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Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Home Health
905 S MAIN ST
SHATTUCK, OK 73858
Pharmacist
905 S MAIN ST
SHATTUCK, OK 73858
Pharmacist
905 S MAIN ST
SHATTUCK, OK 73858
Pharmacist
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Pharmacy (Clinic Pharmacy)
905 S MAIN ST
SHATTUCK, OK 73858
General Acute Care Hospital (Critical Access)
905 S MAIN ST
SHATTUCK, OK 73858
Medicare Defined Swing Bed Unit
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Nurse Practitioner (Women's Health)
905 S MAIN ST
SHATTUCK, OK 73858
Clinic/Center (Rural Health)
905 S MAIN ST
SHATTUCK, OK 73858
Specialist/Technologist, Pathology (Medical Technologist)
905 S MAIN ST
SHATTUCK, OK 73858
Doula
905 S MAIN ST
SHATTUCK, OK 73858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124661624, enumerated as an "organization" on October 28, 2019.

The provider is located at 905 S MAIN ST SHATTUCK, OK 73858 and the phone number is (580) 938-2551.

Emergency Medicine with taxonomy code 207P00000X.