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CLINIC AT WELLSTON
NPI 1528589546
Family Medicine in Wellston, OK

Active since June 29, 2017
309 WEST 2ND STREET, SUITE B, WELLSTON, OK 74881(405) 356-3035(405) 356-3035 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2017, Jun 29, 2017 (2 updates tracked since 2017).

About Clinic At Wellston NPPES

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

CLINIC AT WELLSTON (NPI 1528589546) is a healthcare organization registered as a family medicine in Wellston, Oklahoma and active in the NPI registry since June 2017. The organization lists Sisne Libre' Groff, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1528589546
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINIC AT WELLSTON
Location Address309 WEST 2ND STREET, SUITE BWellston, OK 74881
Mailing AddressPo Box 708Wellston, OK 74881-0708 · (918) 906-9643 · Fax (405) 356-4199
Phone(405) 356-3035
Fax(405) 356-3035
Organization SubpartNo
Authorized OfficialSisne Libre' GroffOwner/operator · (918) 906-9643
Enumeration DateJune 29, 2017
Last NPPES UpdateAugust 23, 20172 updates tracked since enumeration
✔ NPI 1528589546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
309 WEST 2ND STREET, Wellston, OK 74881
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Other Identifiers 2

Medicaid100227020AOK
Medicaid200002570AOK

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

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 Clinic At Wellston's NPI number?

The NPI number for Clinic At Wellston is 1528589546. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Clinic At Wellston located?

Clinic At Wellston is located at 309 West 2nd Street Suite B, Wellston, OK 74881. The listed phone number is (405) 356-3035.

What is Clinic At Wellston's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clinic At Wellston was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.