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: August 09, 2026.

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

About Hcc Of Shattuck, Llc NPPES

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

HCC OF SHATTUCK, LLC (NPI 1124661624) is a healthcare organization registered as an emergency medicine in Shattuck, Oklahoma and active in the NPI registry since October 2019. The organization lists Dawn Bolar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124661624
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameHCC OF SHATTUCK, LLC
Location Address905 S MAIN STShattuck, OK 73858-9205
Mailing Address7725 W Reno Ave Ste 150Oklahoma City, OK 73127-9712 · (800) 962-3303
Organization SubpartNo
Authorized OfficialDawn BolarCeo · (972) 934-3200
Enumeration DateOctober 28, 2019
Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
NPI 1124661624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
905 S MAIN ST, Shattuck, OK 73858

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
General Acute Care Hospital (Critical Access)
905 S MAIN ST
SHATTUCK, OK 73858
Nurse Practitioner (Women's Health)
905 S MAIN ST
SHATTUCK, OK 73858
Family Medicine
905 S MAIN ST
SHATTUCK, OK 73858
Pharmacist
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
Specialist/Technologist, Pathology (Medical Technologist)
905 S MAIN ST
SHATTUCK, OK 73858

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 Hcc Of Shattuck, LLC's NPI number?

The NPI number for Hcc Of Shattuck, LLC is 1124661624. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Hcc Of Shattuck, LLC located?

Hcc Of Shattuck, LLC is located at 905 S Main St, Shattuck, OK 73858. The listed phone number is (580) 938-2551.

What is Hcc Of Shattuck, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Hcc Of Shattuck, LLC was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.