STATHEALTH CLINIC
NPI 1912298845
Clinic/Center - Primary Care in Idabel, OK

Active since April 26, 2011CLIA 37D2028468 · Waiver
805 SE WASHINGTON ST, IDABEL, OK 74745(580) 286-1095(580) 286-3122 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2024, Jan 30, 2020, Oct 9, 2019 and 2 more (5 updates tracked since 2018).

About Stathealth Clinic NPPES

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

STATHEALTH CLINIC (NPI 1912298845) is a healthcare organization registered as a primary care in Idabel, Oklahoma and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Kerri Lea Seymour, Owner, as its authorized official.

NPPES Registry Identity

NPI1912298845
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTATHEALTH CLINIC PLLC
Location Address805 SE WASHINGTON STIdabel, OK 74745-3331
Mailing Address805 Se Washington StIdabel, OK 74745-3331 · (580) 286-1095 · Fax (580) 286-3122
Fax(580) 286-3122
Organization SubpartNo
Authorized OfficialKerri Lea SeymourOwner · (580) 286-1095
Enumeration DateApril 26, 2011
Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1912298845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
805 SE WASHINGTON ST, Idabel, OK 74745

Other Names 1

Doing Business AsStathealth Clinic

Other Identifiers 1

Medicaid200344450AOK

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 37D2028468

Stathealth Clinic · Idabel, OK
Active · expires Aug 16, 2027
CLIA Number37D2028468
Laboratory TypeUrgent Care
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorKerri L. Seymour
Laboratory Phone(580) 286-1095
Laboratory LocationStathealth Clinic805 SE Washington St, Idabel, OK 74745
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 Stathealth Clinic PLLC's NPI number?

The NPI number for Stathealth Clinic PLLC is 1912298845. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is doing business as Stathealth Clinic.

Where is Stathealth Clinic PLLC located?

Stathealth Clinic PLLC is located at 805 SE Washington St, Idabel, OK 74745. The listed phone number is (580) 286-1095.

What is Stathealth Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Stathealth Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2028468) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stathealth Clinic PLLC 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 list Stathealth Clinic PLLC 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 Stathealth Clinic PLLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.