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RED BERRY HEALTH SYSTEM
NPI 1205795143
Clinic/Center - Primary Care in Lawton, OK

Active since January 16, 2026CLIA 37D2340837 · Waiver
6403 W GORE BLVD, LAWTON, OK 73505(580) 699-5333 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Red Berry Health System NPPES

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

RED BERRY HEALTH SYSTEM (NPI 1205795143) is a healthcare organization registered as a primary care in Lawton, Oklahoma and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Forrest Tahdooahnippah, Chairman, as its authorized official.

NPPES Registry Identity

NPI1205795143
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRED BERRY HEALTH SYSTEM
Location Address6403 W GORE BLVDLawton, OK 73505-5801
Mailing Address584 Nw Bingo RdLawton, OK 73507-1214 · (580) 360-5450
Phone(580) 699-5333
Organization SubpartNo
Authorized OfficialForrest TahdooahnippahChairman · (580) 360-5450
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1205795143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6403 W GORE BLVD, Lawton, OK 73505
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2340837

Red Berry Health System - Wonder Kids · Lawton, OK
Active · expires Mar 23, 2028
CLIA Number37D2340837
Laboratory TypeTribal 638 Hlth Ctr
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorJohnathen Worth
Laboratory Phone(571) 329-0029
Laboratory LocationRed Berry Health System - Wonder Kids6403 W Gore Blvd, Lawton, OK 73505
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Red Berry Health System's NPI number?

The NPI number for Red Berry Health System is 1205795143. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is Red Berry Health System located?

Red Berry Health System is located at 6403 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 699-5333.

What is Red Berry Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Red Berry Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2340837) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Red Berry Health System was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.