BLACKWELL FAMILY MEDICINE LLC
NPI 1376356204
Clinic/Center - Primary Care in Blackwell, OK

Active since January 27, 2025
1009 W FERGUSON AVE, BLACKWELL, OK 74631(580) 363-0052(580) 363-0894 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackwell Family Medicine Llc NPPES

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

BLACKWELL FAMILY MEDICINE LLC (NPI 1376356204) is a healthcare organization registered as a primary care in Blackwell, Oklahoma and active in the NPI registry since January 2025. The organization lists Sara J Fair, Office Manger, as its authorized official.

NPPES Registry Identity

NPI1376356204
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLACKWELL FAMILY MEDICINE LLC
Location Address1009 W FERGUSON AVEBlackwell, OK 74631-5602
Mailing Address1009 W Ferguson AveBlackwell, OK 74631-5602 · (580) 363-0052 · Fax (580) 363-0894
Fax(580) 363-0894
Organization SubpartNo
Authorized OfficialSara J FairOffice Manger · (580) 363-0052
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1376356204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1009 W FERGUSON AVE, Blackwell, OK 74631

Other Providers at the Same Location NPPES 6

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

Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Physician Assistant
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Clinic/Center (VA)
1009 W FERGUSON AVE, BLACKWELL FAMILY MEDICINE
BLACKWELL, OK 74631
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631

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 Blackwell Family Medicine LLC's NPI number?

The NPI number for Blackwell Family Medicine LLC is 1376356204. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is Blackwell Family Medicine LLC located?

Blackwell Family Medicine LLC is located at 1009 W Ferguson Ave, Blackwell, OK 74631. The listed phone number is (580) 363-0052.

What is Blackwell Family Medicine 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 Blackwell Family Medicine LLC was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.