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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: November 01, 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
Phone(918) 772-3390
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
Open in Google Maps ↗

Other Names 1

Doing Business AsPryor Family Medical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pryor Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

64

Medicare enrollment records show 64 clinicians reassign Medicare billing to Pryor Family Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner28
Obstetrics/Gynecology11
Family Practice9
Pediatric Medicine4
Internal Medicine3
Certified Nurse Midwife (CNM)2
General Practice2
Allergy/Immunology1
4 other specialties4

Nearest to this location (20)

See all 64
Monica Greer, APRN-CNP
Nurse Practitioner
NPI 1760153753
5319 S MILL ST
Pryor, OK 74361
(918) 981-5000
✔ PECOS✔ Accepts Medicare0.9 mi
Amy Adams, DNP, APRN, CNP
Nurse Practitioner
NPI 1477952901
101 E FERRY ST
Salina, OK 74365
(918) 434-7440
✔ PECOS✔ Accepts Medicare9.3 mi
Dani Stone, NP
Nurse Practitioner
NPI 1386156883
101 E FERRY ST
Salina, OK 74365
(918) 434-7440
✔ PECOS✔ Accepts Medicare9.3 mi
Deborah Davis, NP
Nurse Practitioner
NPI 1316455504
124 E MAIN ST
Hulbert, OK 74441
(918) 772-2879
✔ PECOS✔ Accepts Medicare27 mi
Kenneth Gibson, DO
Family Practice
NPI 1245241413
124 E MAIN ST
Hulbert, OK 74441
(918) 772-3390
✔ PECOS✔ Accepts Medicare27 mi
Kathy Ritchie, A.R.N.P.
Nurse Practitioner
NPI 1134428592
124 E MAIN ST
Hulbert, OK 74441
(918) 772-2879
✔ PECOS✔ Accepts Medicare27 mi
Chelsea Mcdonald, DO
Family Practice
NPI 1326509092
8551 N 125TH EAST AVE STE 175
Owasso, OK 74055
(918) 265-3797
✔ PECOS✔ Accepts Medicare29 mi
Ryan Gholson, MD
Obstetrics/Gynecology
NPI 1285951186
8422 N 123RD EAST AVE
Owasso, OK 74055
(918) 212-4848
✔ PECOS29 mi
Allie Grantham, MHR, LPC, CADC
Mental Health Counselor
NPI 1447388178
529 N OAK AVE
Tahlequah, OK 74464
(918) 444-2126
✔ PECOS✔ Accepts Medicare33 mi
Lea Humphrey, D.O.
Otolaryngology
NPI 1649584855
1203 E ROSS BYP
Tahlequah, OK 74464
(918) 453-1234
✔ PECOS✔ Accepts Medicare34 mi
Christopher Gaskins, DO
Emergency Medicine
NPI 1508481292
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 284-3838
✔ PECOS✔ Accepts Medicare34 mi
Jameel Uqdah, M.D.
Internal Medicine
NPI 1982864054
1500 E DOWNING ST STE 101
Tahlequah, OK 74464
(918) 434-7440
✔ PECOS✔ Accepts Medicare34 mi
Muneeza Afif, MD
Internal Medicine
NPI 1740544428
1500 E DOWNING ST STE 101
Tahlequah, OK 74464
(312) 864-6000
✔ PECOS✔ Accepts Medicare34 mi
Kayla Cagle-Colon, M.D.
Obstetrics/Gynecology
NPI 1134582034
1500 E DOWNING ST STE 214
Tahlequah, OK 74464
(918) 431-0202
✔ PECOS✔ Accepts Medicare34 mi
Thomas Maibenco, MD
General Practice
NPI 1639211386
1500 E DOWNING ST STE 101
Tahlequah, OK 74464
(918) 453-1234
✔ PECOS34 mi
Kimberly Milford, MD
Pediatric Medicine
NPI 1285824045
1500 E DOWNING ST STE 102
Tahlequah, OK 74464
(918) 207-0773
✔ PECOS34 mi
Megan Melott Moss, DO
Osteopathic Manipulative Medicine
NPI 1164099073
1310 E BOONE ST
Tahlequah, OK 74464
(918) 456-7700
✔ PECOS34 mi
Naveed Siddique, M.D.
Pediatric Medicine
NPI 1720122914
1310 E BOONE ST
Tahlequah, OK 74464
(918) 456-7700
✔ PECOS34 mi
Sarah Poplin, CNM
Certified Nurse Midwife (CNM)
NPI 1497830046
108 LONE OAK CIR
Fort Gibson, OK 74434
(918) 478-6005
✔ PECOS✔ Accepts Medicare36 mi
Robert Mcdonald, DO
Allergy/Immunology
NPI 1992743066
100 MERCY WAY STE 560
Joplin, MO 64804
(417) 556-8566
✔ PECOS✔ Accepts Medicare68 mi
See all 64 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Northeastern Oklahoma Community Health Centers Inc enrolled in Medicare?

Yes. Northeastern Oklahoma Community Health Centers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Oklahoma Community Health Centers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 12 Medicare specialties reassign their Medicare billing to Northeastern Oklahoma Community Health Centers Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Obstetrics/Gynecology (11) and Family Practice (9). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Arkansas Health & Wellness, 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.