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OSU-AJ FAMILY MEDICAL CLINIC OF WESTERN OKLAHOMA
NPI 1134293236
Clinic/Center - Medical Specialty in Elk City, OK

Active since November 20, 2006
411 N RANDALL AVE, ELK CITY, OK 73644(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Osu-aj Family Medical Clinic Of Western Oklahoma NPPES

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

OSU-AJ FAMILY MEDICAL CLINIC OF WESTERN OKLAHOMA (NPI 1134293236) is a healthcare organization registered as a medical specialty in Elk City, Oklahoma and active in the NPI registry since November 2006. The organization lists Eric Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1134293236
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address411 N RANDALL AVEElk City, OK 73644-4127
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 561-8306
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric PolakVice President For Admin/finance · (918) 561-8422
Enumeration DateNovember 20, 2006
Last NPPES UpdateApril 7, 2016
✔ NPI 1134293236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
411 N RANDALL AVE, Elk City, OK 73644
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Other Names 1

Doing Business AsOsu-aj Family Medical Clinic Of Western Oklahoma

Other Identifiers 1

Medicaid200091560COK

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.

AMANDA LYNN LAFARLETTE APRNC-NP
Nurse Practitioner
411 N RANDALL AVE
ELK CITY, OK 73644
Beckham County (580) 243-2273
ERICK DEROCHER D O INC
Family Medicine
411 N RANDALL AVE
ELK CITY, OK 73644
Beckham County (580) 243-2273
ERICK CHARLES DEROCHER D.O.
Family Medicine
411 N RANDALL AVE
ELK CITY, OK 73644
Beckham County (580) 243-2273

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 Osu Center For Health Sciences's NPI number?

The NPI number for Osu Center For Health Sciences is 1134293236. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Osu-Aj Family Medical Clinic Of Western Oklahoma.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 411 N Randall Ave, Elk City, OK 73644. The listed phone number is (918) 561-8306.

What is Osu Center For Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Osu Center For Health Sciences was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.