GREEN COUNTRY MEDICAL CLINIC
NPI 1265658322
Clinical Medical Laboratory in South Coffeyville, OK

Active since April 17, 2007CLIA 37D0473285 · Microscopy
228 WILLOW, SOUTH COFFEYVILLE, OK 74072(918) 255-6000 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Green Country Medical Clinic NPPES

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

GREEN COUNTRY MEDICAL CLINIC (NPI 1265658322) is a healthcare organization registered as a clinical medical laboratory in South Coffeyville, Oklahoma and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through April 14, 2028 and lists Sheryl Neely, Rn, as its authorized official.

NPPES Registry Identity

NPI1265658322
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGREEN COUNTRY MEDICAL, INC.
Location Address228 WILLOWSouth Coffeyville, OK 74072
Mailing Address228 WillowSouth Coffeyville, OK 74072
Organization SubpartNo
Authorized OfficialSheryl NeelyRn · (918) 273-0140
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 30, 2007
NPI 1265658322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

228 WILLOW, South Coffeyville, OK 74072

Other Names 1

Doing Business AsGreen Country Medical Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 37D0473285

Green Country Medical, Inc · Nowata, OK
Active · expires Apr 14, 2028
CLIA Number37D0473285
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorDavid S. Caughell
Laboratory Phone(918) 273-0140
Laboratory LocationGreen Country Medical, Inc712 E Osage, Nowata, OK 74048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Family Medicine
228 WILLOW
SOUTH COFFEYVILLE, OK 74072
Family Medicine
228 WILLOW
SOUTH COFFEYVILLE, OK 74072

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 Green Country Medical, Inc.'s NPI number?

The NPI number for Green Country Medical, Inc. is 1265658322. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Green Country Medical Clinic.

Where is Green Country Medical, Inc. located?

Green Country Medical, Inc. is located at 228 Willow, South Coffeyville, OK 74072. The listed phone number is (918) 255-6000.

What is Green Country Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Green Country Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0473285) is associated with this NPI, valid through April 14, 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 Green Country Medical, Inc. was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.