OrganizationActive
Oklahoma Integrated Care PLC
NPI 1316540495 · Multi-Specialty Clinic/Center · Ardmore, OK
Provider details
- NPI number
- 1316540495
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tasha Preston, Nurse Practitioner(580) 504-1517
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
1013 15th Ave Nw
Ardmore, OK 73401-1810
Phone: (580) 504-1517
Approximate (ZIP-level) locationGet directions
Mailing address
1013 15th Ave Nw
Ardmore, OK 73401-1810
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.