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ST. MADRON MEDICAL CLINIC
NPI 1285068791
Specialist in Roland, OK

Active since September 03, 2013
205 E. RAY FINE BLVD ST. 6, ROLAND, OK 74954(918) 503-6235(918) 398-0637 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Madron Medical Clinic NPPES

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

ST. MADRON MEDICAL CLINIC (NPI 1285068791), doing business as Wellness Clinic Of Roland Inc, is a healthcare organization registered as a specialist in Roland, Oklahoma and active in the NPI registry since September 2013. The organization lists Darren Brewer, Owner, as its authorized official.

NPPES Registry Identity

NPI1285068791
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST. MADRON MEDICAL CLINIC
Location Address205 E. RAY FINE BLVD ST. 6Roland, OK 74954
Mailing Address303 Towson Ave.Fort Smith, AR 72901 · (918) 503-6235 · Fax (918) 398-0637
Phone(918) 503-6235
Fax(918) 398-0637
Organization SubpartNo
Authorized OfficialDarren BrewerOwner · (918) 503-6235
Enumeration DateSeptember 3, 2013
Last NPPES UpdateAugust 6, 2015
✔ NPI 1285068791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 17754
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

205 E. RAY FINE BLVD ST. 6, Roland, OK 74954
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Other Names 1

Former Legal Business NameWellness Clinic Of Roland Inc

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

Frequently Asked Questions

What is ST. MADRON MEDICAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1285068791, enumerated as an "organization" on September 03, 2013.

Where is the provider located?

The provider is located at 205 E. RAY FINE BLVD ST. 6 ROLAND, OK 74954 and the phone number is (918) 503-6235.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.