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TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC
NPI 1508096447
Clinic/Center - Rural Health in Tishomingo, OK

Active since July 24, 2009
508 E 24TH ST, TISHOMINGO, OK 73460(580) 371-9117(580) 371-3170 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tishomingo Doctor's Medical Clinic, Pc NPPES

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

TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC (NPI 1508096447) is a healthcare organization registered as a rural health in Tishomingo, Oklahoma and active in the NPI registry since July 2009. The organization lists Virginia Ragan, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508096447
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTISHOMINGO DOCTOR'S MEDICAL CLINIC, PC
Location Address508 E 24TH STTishomingo, OK 73460-3214
Mailing Address508 E 24th StTishomingo, OK 73460-3214 · (580) 371-9117 · Fax (580) 371-3170
Phone(580) 371-9117
Fax(580) 371-3170
Organization SubpartNo
Authorized OfficialVirginia RaganDirector Of Operations · (580) 371-9117
Enumeration DateJuly 24, 2009
Last NPPES UpdateNovember 20, 2009
✔ NPI 1508096447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
508 E 24TH ST, Tishomingo, OK 73460
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Other Providers at the Same Location NPPES 3

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

MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Internal Medicine (Cardiovascular Disease)
508 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 272-0715
TEXOMA RURAL HEALTH CENTER
Family Medicine
508 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-9117
DR. WELLIE P. ADLAON M.D.
Internal Medicine
508 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-9117

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 Tishomingo Doctor's Medical Clinic, PC's NPI number?

The NPI number for Tishomingo Doctor's Medical Clinic, PC is 1508096447. It was assigned to this organization in the NPPES registry on July 24, 2009.

Where is Tishomingo Doctor's Medical Clinic, PC located?

Tishomingo Doctor's Medical Clinic, PC is located at 508 E 24th St, Tishomingo, OK 73460. The listed phone number is (580) 371-9117.

What is Tishomingo Doctor's Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Tishomingo Doctor's Medical Clinic, PC was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.