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PRAGUE HEALTHCARE CENTER
NPI 1275093098
Family Medicine in Prague, OK

Active since March 20, 2019
810 9TH ST, PRAGUE, OK 74864(405) 566-3411(405) 566-3410 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, Jan 5, 2022, Nov 24, 2020 and 1 more (4 updates tracked since 2019).

About Prague Healthcare Center NPPES

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

PRAGUE HEALTHCARE CENTER (NPI 1275093098) is a healthcare organization registered as a family medicine in Prague, Oklahoma and active in the NPI registry since March 2019. The organization lists Melinda Kay Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275093098
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRISTOW ENDEAVOR HEALTHCARE, LLC
Location Address810 9TH STPrague, OK 74864-4582
Mailing Address1809 E 13th St Ste 300Tulsa, OK 74104-4431 · (918) 701-2313 · Fax (539) 235-0028
Phone(405) 566-3411
Fax(405) 566-3410
Organization SubpartYes
Authorized OfficialMelinda Kay WhitakerCredentialing Coordinator · (918) 701-2313
Enumeration DateMarch 20, 2019
Last NPPES UpdateMay 30, 20234 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1275093098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
810 9TH ST, Prague, OK 74864
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Other Names 1

Doing Business AsPrague Healthcare Center

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Bristow Endeavor Healthcare, LLC's NPI number?

The NPI number for Bristow Endeavor Healthcare, LLC is 1275093098. It was assigned to this organization in the NPPES registry on March 20, 2019. The provider is doing business as Prague Healthcare Center.

Where is Bristow Endeavor Healthcare, LLC located?

Bristow Endeavor Healthcare, LLC is located at 810 9th St, Prague, OK 74864. The listed phone number is (405) 566-3411.

What is Bristow Endeavor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bristow Endeavor Healthcare, LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.