RESTORE FAMILY MEDICAL CLINIC II
NPI 1194405308
Nurse Practitioner - Family in Hugo, OK

Active since July 21, 2023

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Aug 17, 2023, Jul 21, 2023 (3 updates tracked since 2023).

About Restore Family Medical Clinic Ii NPPES

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

RESTORE FAMILY MEDICAL CLINIC II (NPI 1194405308), doing business as Restore Family Medical Clinic, is a healthcare organization registered as a family in Hugo, Oklahoma and active in the NPI registry since July 2023. The organization lists Kendall M Phillips, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1194405308
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRESTORE FAMILY MEDICAL CLINIC II
Location Address111 N 3RD STHugo, OK 74743-4001
Mailing Address111 N 3rd StHugo, OK 74743-4001 · (580) 372-2819
Organization SubpartNo
Authorized OfficialKendall M PhillipsOwner/operator · (580) 982-6044
Enumeration DateJuly 21, 2023
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1194405308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
111 N 3RD ST, Hugo, OK 74743

Other Names 1

Doing Business AsRestore Family Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
111 N 3RD ST
HUGO, OK 74743
Nurse Practitioner (Family)
111 N 3RD ST
HUGO, OK 74743

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 Restore Family Medical Clinic II's NPI number?

The NPI number for Restore Family Medical Clinic II is 1194405308. It was assigned to this organization in the NPPES registry on July 21, 2023. The provider is doing business as Restore Family Medical Clinic.

Where is Restore Family Medical Clinic II located?

Restore Family Medical Clinic II is located at 111 N 3rd St, Hugo, OK 74743. The listed phone number is (580) 372-2819.

What is Restore Family Medical Clinic II's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Restore Family Medical Clinic II accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Restore Family Medical Clinic II as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restore Family Medical Clinic II was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.