PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC
NPI 1609700079
Clinic/Center - Rural Health in Poteau, OK

Q: What is Pro-Care Family Health Of Oklahoma , LLC's specialty?

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

Active since June 10, 2026CLIA 37D2019219 · Waiver

1103 DEWEY AVE, POTEAU, OK 74953(918) 649-3777 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Pro-care Family Health Of Oklahoma , Llc NPPES

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

PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC (NPI 1609700079) is a healthcare organization registered as a rural health in Poteau, Oklahoma and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Evelyn Marie Tustin, Manager, as its authorized official.

NPPES Registry Identity

NPI1609700079

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC

Location Address1103 DEWEY AVEPoteau, OK 74953-4411

Mailing AddressPo Box 1278Poteau, OK 74953-1278 · (918) 649-3777

Phone(918) 649-3777

Organization SubpartNo

Authorized OfficialEvelyn Marie TustinManager · (918) 647-0670

Enumeration DateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1609700079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

1103 DEWEY AVE, Poteau, OK 74953

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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 37D2019219

Pro-Care Family Health Of Oklahoma, LLC · Poteau, OK

Active · expires Jan 24, 2027

CLIA Number37D2019219

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorJonathan S. Clark

Laboratory Phone(918) 649-3777

Laboratory LocationPro-Care Family Health Of Oklahoma, LLC1103 Dewey Ave, Poteau, OK 74953

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

OSU CENTER FOR HEALTH SCIENCES

Clinic/Center (Medical Specialty)