GREEN MEDICAL CLINIC
NPI 1801086715
Family Medicine in Cookson, OK

Active since July 26, 2007
23507 EAST RIVERVIEW DRIVE, COOKSON, OK 74427(918) 456-8989(918) 456-7989 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Medical Clinic NPPES

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

GREEN MEDICAL CLINIC (NPI 1801086715) is a healthcare organization registered as a family medicine in Cookson, Oklahoma and active in the NPI registry since July 2007. The organization lists Lawrence Charles Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1801086715
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREEN MEDICAL CLINIC
Location Address23507 EAST RIVERVIEW DRIVECookson, OK 74427
Mailing Address1 Plaza South StTahlequah, OK 74464-4750 · (918) 456-8989 · Fax (918) 456-7989
Fax(918) 456-7989
Organization SubpartNo
Authorized OfficialLawrence Charles GreenOwner · (918) 456-8989
Enumeration DateJuly 26, 2007
Last NPPES UpdateNovember 1, 2012
NPI 1801086715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 9260
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.

23507 EAST RIVERVIEW DRIVE, Cookson, OK 74427

Other Identifiers 3

Medicaid100093200DOK
OtherD05217OK · Upin
Medicare PIN400522294OK

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

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 Green Medical Clinic's NPI number?

The NPI number for Green Medical Clinic is 1801086715. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Green Medical Clinic located?

Green Medical Clinic is located at 23507 East Riverview Drive, Cookson, OK 74427. The listed phone number is (918) 456-8989.

What is Green Medical Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Green Medical Clinic was last updated on November 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.