PWWL CENTERS, LLC
NPI 1154198737
Clinic/Center - Community Health in Colcord, OK

Active since December 05, 2023
644 STATELINE RD, COLCORD, OK 74338(918) 203-0004 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pwwl Centers, Llc NPPES

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

PWWL CENTERS, LLC (NPI 1154198737), doing business as Physician's Wellness & Weight Loss, is a healthcare organization registered as a community health in Colcord, Oklahoma and active in the NPI registry since December 2023. The organization lists Jerry Dale Frederiksen, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1154198737
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NamePWWL CENTERS, LLC
Location Address644 STATELINE RDColcord, OK 74338-1344
Mailing AddressPo Box 6691Van Buren, AR 72956-0601 · (479) 459-6354
Organization SubpartNo
Authorized OfficialJerry Dale FrederiksenManaging Member · (479) 459-6354
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1154198737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
644 STATELINE RD, Colcord, OK 74338

Other Names 1

Doing Business AsPhysician's Wellness & Weight Loss

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 Pwwl Centers, LLC's NPI number?

The NPI number for Pwwl Centers, LLC is 1154198737. It was assigned to this organization in the NPPES registry on December 5, 2023. The provider is doing business as Physician's Wellness & Weight Loss.

Where is Pwwl Centers, LLC located?

Pwwl Centers, LLC is located at 644 Stateline Rd, Colcord, OK 74338. The listed phone number is (918) 203-0004.

What is Pwwl Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Pwwl Centers, LLC was last updated on December 5, 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.