15TH STREET CLINIC
NPI 1861059388
Contractor in Edmond, OK

Active since May 20, 2019
180 W 15TH ST STE 100, EDMOND, OK 73013(405) 420-3937 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 15th Street Clinic NPPES

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

15TH STREET CLINIC (NPI 1861059388) is a healthcare organization registered as a contractor in Edmond, Oklahoma and active in the NPI registry since May 2019. The organization lists Edward Poole, Owner, as its authorized official.

NPPES Registry Identity

NPI1861059388
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business Name15TH STREET CLINIC
Location Address180 W 15TH ST STE 100Edmond, OK 73013-3601
Mailing Address180 W 15th St Ste 100Edmond, OK 73013-3601 · (405) 420-3937
Organization SubpartNo
Authorized OfficialEdward PooleOwner · (405) 420-3937
Enumeration DateMay 20, 2019
NPI 1861059388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

180 W 15TH ST STE 100, Edmond, OK 73013

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

The NPI number assigned to this healthcare provider is 1861059388, enumerated as an "organization" on May 20, 2019.

The provider is located at 180 W 15TH ST STE 100 EDMOND, OK 73013 and the phone number is (405) 420-3937.

Contractor with taxonomy code 171W00000X.