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WILLOW OAK MEDICAL, LLC
NPI 1366224719
Clinic/Center - Primary Care in Clinton, IN

Active since October 19, 2023
100 S MAIN ST, CLINTON, IN 47842(912) 713-1124 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Oct 19, 2023 (2 updates tracked since 2023).

About Willow Oak Medical, Llc NPPES

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

WILLOW OAK MEDICAL, LLC (NPI 1366224719) is a healthcare organization registered as a primary care in Clinton, Indiana and active in the NPI registry since October 2023. The organization lists Jeanie M Kent, Owner, as its authorized official.

NPPES Registry Identity

NPI1366224719
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILLOW OAK MEDICAL, LLC
Location Address100 S MAIN STClinton, IN 47842-2437
Mailing AddressPo Box 467Clinton, IN 47842-0467 · (912) 713-1124
Phone(912) 713-1124
Organization SubpartNo
Authorized OfficialJeanie M KentOwner · (912) 713-1124
Enumeration DateOctober 19, 2023
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1366224719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
100 S MAIN ST, Clinton, IN 47842
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Other Providers at the Same Location NPPES 5

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

CAMERON SCOTT ELMORE DC
Chiropractor
100 S MAIN ST
CLINTON, IN 47842
Vermillion County (765) 505-5200
JEANIE MAE KENT FNP-C
Nurse Practitioner (Family)
100 S MAIN ST
CLINTON, IN 47842
Vermillion County (765) 505-5200
ELITE SPINE & SPORT LLC
Clinic/Center (Physical Therapy)
100 S MAIN ST
CLINTON, IN 47842
Vermillion County (765) 505-5200
S & S MEDICAL LLC
Nurse Practitioner (Family)
100 S MAIN ST
CLINTON, IN 47842
Vermillion County (765) 505-5200
BRENDA E SEIBOLD FNP
Nurse Practitioner (Family)
100 S MAIN ST
CLINTON, IN 47842
Vermillion County (765) 505-5200

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 Willow Oak Medical, LLC's NPI number?

The NPI number for Willow Oak Medical, LLC is 1366224719. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Willow Oak Medical, LLC located?

Willow Oak Medical, LLC is located at 100 S Main St, Clinton, IN 47842. The listed phone number is (912) 713-1124.

What is Willow Oak Medical, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Willow Oak Medical, LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.