COMMUNITY CLINIC OF BEAVER
NPI 1487631156
Clinic/Center in Beaver, OK

Active since December 23, 2005CLIA 37D0879813 · Microscopy
718 AVE. A, BEAVER, OK 73932(580) 625-3477(580) 625-3562 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Community Clinic Of Beaver NPPES

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

COMMUNITY CLINIC OF BEAVER (NPI 1487631156) is a healthcare organization registered as a clinic/center in Beaver, Oklahoma and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through December 1, 2027 and lists Brent Meyers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487631156
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEAVER COUNTY MEMORIAL HOSPITAL
Location Address718 AVE. ABeaver, OK 73932-3101
Mailing AddressPo Box 640Beaver, OK 73932-0640 · (580) 625-3477 · Fax (580) 625-3562
Fax(580) 625-3562
Organization SubpartNo
Authorized OfficialBrent MeyersAdministrator · (580) 625-4551
Enumeration DateDecember 23, 2005
Last NPPES UpdateApril 15, 2010
NPI 1487631156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OK · 2242
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

718 AVE. A, Beaver, OK 73932

Other Names 1

Doing Business AsCommunity Clinic Of Beaver

Other Identifiers 6

Medicare PINB37008201OK
Medicare PIN243603803OK
Medicaid100700760FOK
Medicare OSCAR/certification373402OK
Medicaid100700760HOK
Medicare PIN24M713606OK

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 37D0879813

Community Clinic Of Beaver · Beaver, OK
Active · expires Dec 1, 2027
CLIA Number37D0879813
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorAaron Sizelove
Laboratory Phone(580) 625-3477
Laboratory LocationCommunity Clinic Of Beaver718 Ave A, Beaver, OK 73932
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487631156, enumerated as an "organization" on December 23, 2005.

The provider is located at 718 AVE. A BEAVER, OK 73932 and the phone number is (580) 625-3477.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.