OrganizationActive
Good Shepherd Community Clinic, Inc.
NPI 1285010413 · Federally Qualified Health Center (FQHC) · Ardmore, OK
Provider details
- NPI number
- 1285010413
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Myers, Ceo(580) 223-3411
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
20 12th Ave Nw
Ardmore, OK 73401-5722
Phone: (580) 223-3411
Fax: (580) 223-6614
Approximate (ZIP-level) locationGet directions
Mailing address
20 12th Ave Nw
Ardmore, OK 73401-5722
Additional practice locations (1)
- 1104 Walnut DrArdmore, OK 73401-2353Phone: (580) 226-0543
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.