MOORE PRIMARY CARE
NPI 1578854576
Clinic/Center - Primary Care in Moore, OK

Active since April 25, 2011
1400 SE 4TH ST, SUITE H, MOORE, OK 73160(405) 799-7400(405) 799-7405 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Moore Primary Care NPPES

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

MOORE PRIMARY CARE (NPI 1578854576) is a healthcare organization registered as a primary care in Moore, Oklahoma and active in the NPI registry since April 2011. The organization lists Randall Carter, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1578854576
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOORE PRIMARY CARE
Location Address1400 SE 4TH ST, SUITE HMoore, OK 73160-7329
Mailing Address1400 Se 4th St, Suite HMoore, OK 73160-7329 · (405) 799-7400 · Fax (405) 799-7405
Fax(405) 799-7405
Organization SubpartNo
Authorized OfficialRandall CarterPa-c · (405) 799-7400
Enumeration DateApril 25, 2011
NPI 1578854576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1400 SE 4TH ST, Moore, OK 73160

Other Identifiers 1

Medicaid200079670AOK

Other Providers at the Same Location NPPES 20

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

Pharmacy
1400 SE 4TH ST, SUITE H
MOORE, OK 73160
Physician Assistant
1400 SE 4TH ST, STE H
MOORE, OK 73160
Family Medicine (Geriatric Medicine)
1400 SE 4TH ST, STE C
MOORE, OK 73160
Family Medicine
1400 SE 4TH ST, STE D
MOORE, OK 73160
Counselor
1400 SE 4TH ST
MOORE, OK 73160
Family Medicine
1400 SE 4TH ST, STE H
MOORE, OK 73160
Physician Assistant (Medical)
1400 SE 4TH ST, STE H
MOORE, OK 73160
Counselor
1400 SE 4TH ST
MOORE, OK 73160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578854576, enumerated as an "organization" on April 25, 2011.

The provider is located at 1400 SE 4TH ST SUITE H MOORE, OK 73160 and the phone number is (405) 799-7400.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.