PRYOR FAMILY MEDICAL CENTER
NPI 1669101184
Clinic/Center - Federally Qualified Health Center (FQHC) in Pryor, OK

Active since June 09, 2022CLIA 37D2263716 · Waiver
5319 S MILL ST, PRYOR, OK 74361(918) 772-3390(918) 772-2244 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pryor Family Medical Center NPPES

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

PRYOR FAMILY MEDICAL CENTER (NPI 1669101184) is a healthcare organization registered as a federally qualified health center (fqhc) in Pryor, Oklahoma and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Scott Rosenthal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669101184
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
Location Address5319 S MILL STPryor, OK 74361-6839
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 772-2244
Fax(918) 772-2244
Organization SubpartNo
Authorized OfficialScott RosenthalCeo · (918) 772-3390
Enumeration DateJune 9, 2022
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1669101184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5319 S MILL ST, Pryor, OK 74361

Other Names 1

Doing Business AsPryor Family Medical Center

Accepted Insurance

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 37D2263716

Pryor Family Medical Center · Pryor, OK
Active · expires Jul 4, 2028
CLIA Number37D2263716
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorKenneth Gibson
Laboratory Phone(918) 772-3390
Laboratory LocationPryor Family Medical Center5319 S Mill St, Pryor, OK 74361
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

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

Nurse Practitioner (Family)
5319 S MILL ST
PRYOR, OK 74361

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 Northeastern Oklahoma Community Health Centers Inc's NPI number?

The NPI number for Northeastern Oklahoma Community Health Centers Inc is 1669101184. It was assigned to this organization in the NPPES registry on June 9, 2022. The provider is doing business as Pryor Family Medical Center.

Where is Northeastern Oklahoma Community Health Centers Inc located?

Northeastern Oklahoma Community Health Centers Inc is located at 5319 S Mill St, Pryor, OK 74361. The listed phone number is (918) 772-3390.

What is Northeastern Oklahoma Community Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northeastern Oklahoma Community Health Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2263716) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeastern Oklahoma Community Health Centers Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Northeastern Oklahoma Community Health Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeastern Oklahoma Community Health Centers Inc was last updated on June 17, 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.