MCCURTAIN FAMILY MEDICAL CLINIC
NPI 1588876973
Family Medicine in Broken Bow, OK

Active since May 05, 2007CLIA 37D1070513 · Waiver
800 N PARK DR, BROKEN BOW, OK 74728(580) 584-7210(580) 584-7213 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 30, 2025, Jun 21, 2018 (2 updates tracked since 2018).

About Mccurtain Family Medical Clinic NPPES

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

MCCURTAIN FAMILY MEDICAL CLINIC (NPI 1588876973) is a healthcare organization registered as a family medicine in Broken Bow, Oklahoma and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Monty J Mcgrugan, Physician, as its authorized official.

NPPES Registry Identity

NPI1588876973
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCCURTAIN FAMILY MEDICAL CLINIC
Location Address800 N PARK DRBroken Bow, OK 74728-2146
Mailing Address800 N Park DrBroken Bow, OK 74728-2146 · (580) 584-7210 · Fax (580) 584-7213
Fax(580) 584-7213
Organization SubpartNo
Authorized OfficialMonty J McgruganPhysician · (580) 584-7210
Enumeration DateMay 5, 2007
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1588876973 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.
800 N PARK DR, Broken Bow, OK 74728

Other Identifiers 1

Medicaid200015540COK

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mccurtain Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mccurtain Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1174121248
800 N PARK DR
Broken Bow, OK 74728
(580) 584-7210
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1649896580
865 DESHONG DR
Paris, TX 75460
(903) 785-4521
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 37D1070513

Mccurtain Family Medicine Clinic · Broken Bow, OK
Active · expires Jun 28, 2027
CLIA Number37D1070513
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorJason R. Mc Henry
Laboratory Phone(580) 584-7210
Laboratory LocationMccurtain Family Medicine Clinic800 North Park Drive, Broken Bow, OK 74728
CLIA data matches this NPI record on: Address 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 Mccurtain Family Medical Clinic's NPI number?

The NPI number for Mccurtain Family Medical Clinic is 1588876973. It was assigned to this organization in the NPPES registry on May 5, 2007.

Where is Mccurtain Family Medical Clinic located?

Mccurtain Family Medical Clinic is located at 800 N Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 584-7210.

What is Mccurtain Family Medical Clinic's specialty?

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

Is Mccurtain Family Medical Clinic enrolled in Medicare?

Yes. Mccurtain Family Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mccurtain Family Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mccurtain Family Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mccurtain Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1070513) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mccurtain Family Medical Clinic was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.