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GRANITE FAMILY MEDICAL CLINIC
NPI 1396911830
Clinic/Center - Primary Care in Granite, OK

Active since May 05, 2008CLIA 37D2074695 · Waiver
417 N. MAIN, GRANITE, OK 73547(580) 535-4598(580) 535-4725 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Granite Family Medical Clinic NPPES

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

GRANITE FAMILY MEDICAL CLINIC (NPI 1396911830) is a healthcare organization registered as a primary care in Granite, Oklahoma and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Nicole Evans, President, as its authorized official.

NPPES Registry Identity

NPI1396911830
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameN EVANS EINTERPRISES LLC
Location Address417 N. MAINGranite, OK 73547
Mailing Address417 North Main, P.o. Box 243Granite, OK 73547-0243 · (580) 535-4598 · Fax (580) 535-4725
Phone(580) 535-4598
Fax(580) 535-4725
Organization SubpartNo
Authorized OfficialNicole EvansPresident · (580) 706-0113
Enumeration DateMay 5, 2008
Last NPPES UpdateAugust 25, 2010
✔ NPI 1396911830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 802 (OK)
417 N. MAIN, Granite, OK 73547
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Other Names 1

Doing Business AsGranite Family Medical Clinic

Other Identifiers 1

Medicare PINOKB5170OK

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

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 37D2074695

Granite Family Medical Clinic · Granite, OK
Active · expires Mar 12, 2028
CLIA Number37D2074695
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorNicole Evans
Laboratory Phone(580) 535-4598
Laboratory LocationGranite Family Medical Clinic417 N Main Street, Granite, OK 73547
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 N Evans Einterprises LLC's NPI number?

The NPI number for N Evans Einterprises LLC is 1396911830. It was assigned to this organization in the NPPES registry on May 5, 2008. The provider is doing business as Granite Family Medical Clinic.

Where is N Evans Einterprises LLC located?

N Evans Einterprises LLC is located at 417 N. Main, Granite, OK 73547. The listed phone number is (580) 535-4598.

What is N Evans Einterprises LLC's specialty?

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

Does N Evans Einterprises LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2074695) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for N Evans Einterprises LLC was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.