OrganizationActive
Pwwl Centers, LLC
NPI 1154198737 · Community Health Clinic/Center · Colcord, OK
Provider details
- NPI number
- 1154198737
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Frederiksen, Managing Member(479) 459-6354
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
644 Stateline Rd
Colcord, OK 74338-1344
Phone: (918) 203-0004
Street-level locationGet directions
Mailing address
Po Box 6691
Van Buren, AR 72956-0601
Other names (DBA / former)
- Doing business as
- Physician'S Wellness & Weight Loss
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.