1. Home
  2. Directory
  3. Oklahoma
  4. Altus
  5. Preferred Provider Organization
  6. NPI Profile

ALTUS PREMIER HEALTH CLINIC P.L.L.C.
NPI 1528408523
Preferred Provider Organization in Altus, OK

Active since July 05, 2013CLIA 37D2061795 · Waiver
304 S PARK LN STE B, ALTUS, OK 73521(580) 379-6550(580) 379-6559 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Altus Premier Health Clinic P.l.l.c. NPPES

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

ALTUS PREMIER HEALTH CLINIC P.L.L.C. (NPI 1528408523) is a healthcare organization registered as a preferred provider organization in Altus, Oklahoma and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Abdallah S Dawod, M.d., as its authorized official.

NPPES Registry Identity

NPI1528408523
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameALTUS PREMIER HEALTH CLINIC P.L.L.C.
Location Address304 S PARK LN STE BAltus, OK 73521-5754
Mailing Address304 S Park Ln, Suite BAltus, OK 73521-5753 · (580) 379-6550 · Fax (580) 379-6559
Phone(580) 379-6550
Fax(580) 379-6559
Organization SubpartNo
Authorized OfficialAbdallah S DawodM.d. · (580) 379-6550
Enumeration DateJuly 5, 2013
Last NPPES UpdateApril 19, 2016
✔ NPI 1528408523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OK · 24330
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
304 S PARK LN STE B, Altus, OK 73521
Open in Google Maps ↗

Other Identifiers 2

Medicaid200053860BOK
Medicaid200527450AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 of Waiver 37D2061795

Altus Premier Health Clinic · Altus, OK
Active · expires Jul 4, 2027
CLIA Number37D2061795
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorAbdaliah Dawod
Laboratory Phone(580) 379-6550
Laboratory LocationAltus Premier Health Clinic304 S Park Lane Suite B, Altus, OK 73521
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 Altus Premier Health Clinic P.L.L.C.'s NPI number?

The NPI number for Altus Premier Health Clinic P.L.L.C. is 1528408523. It was assigned to this organization in the NPPES registry on July 5, 2013.

Where is Altus Premier Health Clinic P.L.L.C. located?

Altus Premier Health Clinic P.L.L.C. is located at 304 S Park Ln Ste B, Altus, OK 73521. The listed phone number is (580) 379-6550.

What is Altus Premier Health Clinic P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Altus Premier Health Clinic P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2061795) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Altus Premier Health Clinic P.L.L.C. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Altus Premier Health Clinic P.L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Altus Premier Health Clinic P.L.L.C. was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.