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PAWNEE HEALTH & WELLNESS CLINIC LLC
NPI 1174892590
General Practice in Pawnee, OK

Active since December 14, 2011
304 BOULDER ST, PAWNEE, OK 74058(918) 762-3601(918) 762-2544 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pawnee Health & Wellness Clinic Llc NPPES

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

PAWNEE HEALTH & WELLNESS CLINIC LLC (NPI 1174892590) is a healthcare organization registered as a general practice in Pawnee, Oklahoma and active in the NPI registry since December 2011. The organization lists Gordon Page Laird, Owner, as its authorized official.

NPPES Registry Identity

NPI1174892590
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePAWNEE HEALTH & WELLNESS CLINIC LLC
Location Address304 BOULDER STPawnee, OK 74058-4028
Mailing Address304 Boulder StPawnee, OK 74058-4028 · (918) 762-3601 · Fax (918) 762-2544
Phone(918) 762-3601
Fax(918) 762-2544
Organization SubpartNo
Authorized OfficialGordon Page LairdOwner · (918) 762-3601
Enumeration DateDecember 14, 2011
Last NPPES UpdateApril 5, 2012
✔ NPI 1174892590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OK · OK1532
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA763 (OK)
304 BOULDER ST, Pawnee, OK 74058
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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 4

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

PAIN RELIEF CENTER OF OKLAHOMA
Clinic/Center (Pain)
304 BOULDER ST
PAWNEE, OK 74058
Pawnee County (918) 771-0437
GATEWAY ADDICTION CENTER LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
304 BOULDER ST
PAWNEE, OK 74058
Pawnee County (918) 771-0437
NORTHERN OKLAHOMA ADDICTION CLINIC
Clinic/Center (Pain)
304 BOULDER ST
PAWNEE, OK 74058
Pawnee County (918) 762-3663
GORDON P LAIRD,DO
Family Medicine
304 BOULDER ST
PAWNEE, OK 74058
Pawnee County (918) 762-3601

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 Pawnee Health & Wellness Clinic LLC's NPI number?

The NPI number for Pawnee Health & Wellness Clinic LLC is 1174892590. It was assigned to this organization in the NPPES registry on December 14, 2011.

Where is Pawnee Health & Wellness Clinic LLC located?

Pawnee Health & Wellness Clinic LLC is located at 304 Boulder St, Pawnee, OK 74058. The listed phone number is (918) 762-3601.

What is Pawnee Health & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pawnee Health & Wellness Clinic LLC was last updated on April 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.