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GOOD SHEPHERD COMMUNITY CLINIC, INC.
NPI 1285010413
Clinic/Center - Federally Qualified Health Center (FQHC) in Ardmore, OK

Active since August 11, 2015CLIA 37D0910045 · Waiver
20 12TH AVE NW, ARDMORE, OK 73401(580) 223-3411(580) 223-6614 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Apr 12, 2021, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

About Good Shepherd Community Clinic, Inc. NPPES

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

GOOD SHEPHERD COMMUNITY CLINIC, INC. (NPI 1285010413) is a healthcare organization registered as a federally qualified health center (fqhc) in Ardmore, Oklahoma and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through December 25, 2027, maintains a secondary practice location in Ardmore, and lists Teresa Myers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285010413
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOOD SHEPHERD COMMUNITY CLINIC, INC.
Location Address20 12TH AVE NWArdmore, OK 73401-5722
Mailing Address20 12th Ave NwArdmore, OK 73401-5722 · (580) 223-3411 · Fax (580) 223-6614
Phone(580) 223-3411
Fax(580) 223-6614
Organization SubpartNo
Authorized OfficialTeresa MyersCeo · (580) 223-3411
Enumeration DateAugust 11, 2015
Last NPPES UpdateFebruary 22, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1285010413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
20 12TH AVE NW, Ardmore, OK 73401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11104 Walnut DrArdmore, OK 73401-2353 · Phone (580) 226-0543

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 37D0910045

Good Shepherd Community Clinic, Inc · Ardmore, OK
Active · expires Dec 25, 2027
CLIA Number37D0910045
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorKim R. Spandle
Laboratory Phone(580) 223-3411
Laboratory LocationGood Shepherd Community Clinic, Inc20 12th Avenue Northwest, Ardmore, OK 73401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

STEPHEN VANCE PAUL PA
Physician Assistant (Medical)
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
CARSON SHEARER D.O.
Internal Medicine
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
DR. TERRICK LLOYD WASHINGTON DDS
Dentist
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
DR. THOMAS A PAPIN MD
Internal Medicine
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
HEATHER RAY
Social Worker
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
GOOD SHEPHERD COMMUNITY CLINIC, INC
Pharmacy (Clinic Pharmacy)
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
ANITA ALANIZ MSN, WHNP, FNP-C
Nurse Practitioner (Primary Care)
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411
LANCE MWANGI MD
Family Medicine
20 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3411

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 Good Shepherd Community Clinic, Inc.'s NPI number?

The NPI number for Good Shepherd Community Clinic, Inc. is 1285010413. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Good Shepherd Community Clinic, Inc. located?

Good Shepherd Community Clinic, Inc. is located at 20 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-3411.

What is Good Shepherd Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Good Shepherd Community Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0910045) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Good Shepherd Community Clinic, Inc. 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 2 other insurers list Good Shepherd Community Clinic, Inc. 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 Good Shepherd Community Clinic, Inc. was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.