FAMILY CARE CLINIC INC
NPI 1629507918
General Practice in Sallisaw, OK

Active since June 08, 2017
1506 W CHICKASAW AVE, SALLISAW, OK 74955(918) 776-0050(918) 776-0065 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 8, 2020, Jun 8, 2017 (3 updates tracked since 2017).

About Family Care Clinic Inc NPPES

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

FAMILY CARE CLINIC INC (NPI 1629507918) is a healthcare organization registered as a general practice in Sallisaw, Oklahoma and active in the NPI registry since June 2017. The organization lists Mark Rogow, Physician, as its authorized official.

NPPES Registry Identity

NPI1629507918
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAMILY CARE CLINIC INC
Location Address1506 W CHICKASAW AVESallisaw, OK 74955-7200
Mailing Address1506 W Chickasaw AveSallisaw, OK 74955-7200 · (918) 776-0050 · Fax (918) 776-0065
Fax(918) 776-0065
Organization SubpartNo
Authorized OfficialMark RogowPhysician · (918) 776-0050
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1629507918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OK · 27009
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1506 W CHICKASAW AVE, Sallisaw, OK 74955

Other Identifiers 1

Medicaid200245750OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1506 W CHICKASAW AVE
SALLISAW, OK 74955

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 Family Care Clinic Inc's NPI number?

The NPI number for Family Care Clinic Inc is 1629507918. It was assigned to this organization in the NPPES registry on June 8, 2017.

Where is Family Care Clinic Inc located?

Family Care Clinic Inc is located at 1506 W Chickasaw Ave, Sallisaw, OK 74955. The listed phone number is (918) 776-0050.

What is Family Care Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Family Care Clinic Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.