CLAYBORN FAMILY CLINIC, LLC
NPI 1164951901
Clinic/Center in Checotah, OK

Active since June 06, 2017
517 N BROADWAY ST, CHECOTAH, OK 74426(918) 973-2372(877) 991-9307 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Clayborn Family Clinic, Llc NPPES

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

CLAYBORN FAMILY CLINIC, LLC (NPI 1164951901) is a healthcare organization registered as a clinic/center in Checotah, Oklahoma and active in the NPI registry since June 2017. The organization lists Ashton Clayborn, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164951901
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLAYBORN FAMILY CLINIC, LLC
Location Address517 N BROADWAY STChecotah, OK 74426-1623
Mailing Address517 N Broadway StChecotah, OK 74426-1623 · (918) 973-2372 · Fax (877) 991-9307
Fax(877) 991-9307
Organization SubpartNo
Authorized OfficialAshton ClaybornPhysician/owner · (918) 973-2372
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1164951901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OK · 5726
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
517 N BROADWAY ST, Checotah, OK 74426

Other Identifiers 1

Medicaid200629770AOK

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 Clayborn Family Clinic, LLC's NPI number?

The NPI number for Clayborn Family Clinic, LLC is 1164951901. It was assigned to this organization in the NPPES registry on June 6, 2017.

Where is Clayborn Family Clinic, LLC located?

Clayborn Family Clinic, LLC is located at 517 N Broadway St, Checotah, OK 74426. The listed phone number is (918) 973-2372.

What is Clayborn Family Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Clayborn Family Clinic, LLC was last updated on July 21, 2022. 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.