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ELMBROOK CLINICAL SERVICES LLC
NPI 1649951211
Nurse Practitioner - Gerontology in Ardmore, OK

Active since July 27, 2023
1908 12TH AVE NW, SUITE E, ARDMORE, OK 73401(580) 226-3055(580) 226-3121 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Jul 27, 2023 (2 updates tracked since 2023).

About Elmbrook Clinical Services Llc NPPES

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

ELMBROOK CLINICAL SERVICES LLC (NPI 1649951211) is a healthcare organization registered as a gerontology in Ardmore, Oklahoma and active in the NPI registry since July 2023. The organization lists Tom C Coble, Sole Member/initial Manager, as its authorized official.

NPPES Registry Identity

NPI1649951211
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameELMBROOK CLINICAL SERVICES LLC
Location Address1908 12TH AVE NW, SUITE EArdmore, OK 73401-1255
Mailing Address1908 12th Ave Nw, Suite EArdmore, OK 73401-1255 · (580) 226-3055 · Fax (580) 226-3121
Phone(580) 226-3055
Fax(580) 226-3121
Organization SubpartNo
Authorized OfficialTom C CobleSole Member/initial Manager · (580) 220-7093
Enumeration DateJuly 27, 2023
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1649951211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1908 12TH AVE NW, Ardmore, OK 73401
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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 2

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

MCO HEALTH PLANS, INC.
Health Maintenance Organization
1908 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Carter County (580) 223-8805
MCO HEALTH PLANS, INC
Clinical Nurse Specialist (Gerontology)
1908 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Carter County (580) 223-8805

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 Elmbrook Clinical Services LLC's NPI number?

The NPI number for Elmbrook Clinical Services LLC is 1649951211. It was assigned to this organization in the NPPES registry on July 27, 2023.

Where is Elmbrook Clinical Services LLC located?

Elmbrook Clinical Services LLC is located at 1908 12th Ave NW Suite E, Ardmore, OK 73401. The listed phone number is (580) 226-3055.

What is Elmbrook Clinical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Elmbrook Clinical Services LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.