Lifelong Wellness Center Inc
NPI 1043413487 · Family Medicine Physician · Tahlequah, OK
Lifelong Wellness Center Inc is a Family Medicine Physician organization in Tahlequah, OK (NPI 1043413487).
Provider details
- NPI number
- 1043413487
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edith-Elaine Hodson, President(918) 453-8550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
Mailing address
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-10-18
Frequently asked questions
- What is Lifelong Wellness Center Inc's NPI number?
- Lifelong Wellness Center Inc's National Provider Identifier (NPI) is 1043413487, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifelong Wellness Center Inc?
- Lifelong Wellness Center Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifelong Wellness Center Inc located?
- Lifelong Wellness Center Inc's practice location on file with NPPES is 1203 E Ross Byp Ste C, Tahlequah, OK 74464-4188.
- What is Lifelong Wellness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifelong Wellness Center Inc is (918) 458-0700.
- Who is the authorized official for Lifelong Wellness Center Inc?
- The authorized official listed on Lifelong Wellness Center Inc's NPPES record is Edith-Elaine Hodson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifelong Wellness Center Inc's NPI active?
- Yes — Lifelong Wellness Center Inc's NPI (1043413487) is active in the NPPES registry as of the last update on 2007-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.