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PRAGUE FAMILY CLINIC
NPI 1730389735
Family Medicine in Prague, OK

Active since July 19, 2007CLIA 37D2004036 · Waiver
1322 KLABZUBA, PRAGUE, OK 74864(405) 567-2295(405) 567-4905 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prague Family Clinic NPPES

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

PRAGUE FAMILY CLINIC (NPI 1730389735) is a healthcare organization registered as a family medicine in Prague, Oklahoma and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Kerry Plum, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730389735
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRAGUE MEDICAL ALLIANCE PLLC
Location Address1322 KLABZUBAPrague, OK 74864
Mailing AddressPo Box 842Prague, OK 74864-0842
Phone(405) 567-2295
Fax(405) 567-4905
Organization SubpartNo
Authorized OfficialKerry PlumOffice Manager · (405) 567-2295
Enumeration DateJuly 19, 2007
✔ NPI 1730389735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1322 KLABZUBA, Prague, OK 74864
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Other Names 1

Doing Business AsPrague Family Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 37D2004036

Prague Family Clinic · Prague, OK
Active · expires Feb 23, 2028
CLIA Number37D2004036
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorKeith Conaway
Laboratory Phone(405) 567-2295
Laboratory LocationPrague Family Clinic1322 Klabzuba Ave, Prague, OK 74864
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 3

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

PRAGUE HEALTHCARE ALLIANCE INC
Emergency Medicine
1322 KLABZUBA
PRAGUE, OK 74864
Lincoln County (405) 567-4922
DENNY RAY PARTON DO
Family Medicine
1322 KLABZUBA
PRAGUE, OK 74864
Lincoln County (405) 567-4922
ACADIANA HEALTHCARE OF OKLAHOMA, INC.
General Acute Care Hospital (Critical Access)
1322 KLABZUBA
PRAGUE, OK 74864
Lincoln County (405) 567-4922

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 Prague Medical Alliance PLLC's NPI number?

The NPI number for Prague Medical Alliance PLLC is 1730389735. It was assigned to this organization in the NPPES registry on July 19, 2007. The provider is doing business as Prague Family Clinic.

Where is Prague Medical Alliance PLLC located?

Prague Medical Alliance PLLC is located at 1322 Klabzuba, Prague, OK 74864. The listed phone number is (405) 567-2295.

What is Prague Medical Alliance PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prague Medical Alliance PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2004036) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prague Medical Alliance PLLC was last updated on July 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.