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FIVE OAKS FAMILY MEDICAL CLINIC DME
NPI 1619991098
Durable Medical Equipment & Medical Supplies in Chickasha, OK

Active since July 27, 2006CLIA 37D2067845 · Waiver
2100 W IOWA AVE STE A, CHICKASHA, OK 73018(405) 224-2100(405) 779-2310 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Five Oaks Family Medical Clinic Dme NPPES

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

FIVE OAKS FAMILY MEDICAL CLINIC DME (NPI 1619991098) is a healthcare organization registered as a durable medical equipment & medical supplies in Chickasha, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2027, maintains a secondary practice location in Chickasha, and lists Warren Kean Spellman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619991098
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGRADY MEMORIAL HOSPITAL
Location Address2100 W IOWA AVE STE AChickasha, OK 73018-2736
Mailing Address2100 W Iowa Ave Ste AChickasha, OK 73018-2736 · (405) 224-2100 · Fax (405) 779-2310
Phone(405) 224-2100
Fax(405) 779-2310
Organization SubpartNo
Authorized OfficialWarren Kean SpellmanCeo · (405) 779-2150
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1619991098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2100 W IOWA AVE STE A, Chickasha, OK 73018
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Other Names 1

Doing Business AsFive Oaks Family Medical Clinic Dme

Secondary Practice Location 1

Location 12100 W Iowa AveChickasha, OK 73018-2736 · Phone (405) 224-2100 · Fax (405) 779-2346

Other Identifiers 1

Medicaid100700820EOK

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 37D2067845

Five Oaks Family Medical Clinic · Chickasha, OK
Active · expires Oct 22, 2027
CLIA Number37D2067845
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorMitchell D. Coppedge
Laboratory Phone(405) 779-2720
Laboratory LocationFive Oaks Family Medical Clinic2100 West Iowa Avenue, Suite A, Chickasha, OK 73018
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MRS. ABBY MARIE HOUSMAN D.O.
Family Medicine
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
KATIE ALLYSE DUDLEY APRN, CNP
Family Medicine
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
ANDREA RAE ROBERTS PA
Physician Assistant
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
MARY MASTERMAN M.D.
Family Medicine
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
MARTINA MINER APRN, FNP-C
Nurse Practitioner (Family)
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
SIBIN NAIR MD
Family Medicine
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
JONATHAN HARVEY SOEKAMTO DO
Family Medicine
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
MARYALICE CASE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2100 W IOWA AVE STE A
CHICKASHA, OK 73018
Grady County (405) 224-2100

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 Grady Memorial Hospital's NPI number?

The NPI number for Grady Memorial Hospital is 1619991098. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Five Oaks Family Medical Clinic Dme.

Where is Grady Memorial Hospital located?

Grady Memorial Hospital is located at 2100 W Iowa Ave Ste A, Chickasha, OK 73018. The listed phone number is (405) 224-2100.

What is Grady Memorial Hospital's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Grady Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2067845) is associated with this NPI, valid through October 22, 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 Grady Memorial Hospital was last updated on March 17, 2018. 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.