FAITH MEDICAL CLINIC LLC
NPI 1437934122
Nurse Practitioner - Family in Antlers, OK

Active since August 30, 2023CLIA 37D2293014 · Waiver
114 N HIGH ST, ANTLERS, OK 74523(580) 982-5901 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Faith Medical Clinic Llc NPPES

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

FAITH MEDICAL CLINIC LLC (NPI 1437934122) is a healthcare organization registered as a family in Antlers, Oklahoma and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Charity Rosenthal, Owner, as its authorized official.

NPPES Registry Identity

NPI1437934122
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAITH MEDICAL CLINIC LLC
Location Address114 N HIGH STAntlers, OK 74523-2250
Mailing Address114 N High StAntlers, OK 74523-2250 · (580) 982-5901
Organization SubpartNo
Authorized OfficialCharity RosenthalOwner · (580) 271-1917
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
NPI 1437934122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
114 N HIGH ST, Antlers, OK 74523

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 37D2293014

Faith Medical Clinic LLC · Antlers, OK
Active · expires Nov 1, 2027
CLIA Number37D2293014
Laboratory TypePractitioner Other
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorCharity F. Rosenthal
Laboratory Phone(580) 982-5901
Laboratory LocationFaith Medical Clinic LLC114 N High Street, Antlers, OK 74523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
114 N HIGH ST
ANTLERS, OK 74523
Nurse Practitioner (Family)
114 N HIGH ST
ANTLERS, OK 74523

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 Faith Medical Clinic LLC's NPI number?

The NPI number for Faith Medical Clinic LLC is 1437934122. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is Faith Medical Clinic LLC located?

Faith Medical Clinic LLC is located at 114 N High St, Antlers, OK 74523. The listed phone number is (580) 982-5901.

What is Faith Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Faith Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2293014) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Faith Medical Clinic LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.