OrganizationActive
Monduta Healthcare Services LLC
NPI 1023804424 · Health Service Clinic/Center · Wagoner, OK
Provider details
- NPI number
- 1023804424
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ernest Maina, Owner(918) 857-9932
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1202 W Cherokee St Ste C
Wagoner, OK 74467-4629
Phone: (918) 857-9932
Street-level locationGet directions
Mailing address
1000 W Elmira St
Broken Arrow, OK 74012-0872
Other names (DBA / former)
- Doing business as
- Dunamis Complete Health
- Other name
- Monduta Healthcare Services LLC
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.