OrganizationActive
Blackwell Family Medicine LLC
NPI 1376356204 · Primary Care Clinic/Center · Blackwell, OK
Provider details
- NPI number
- 1376356204
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Fair, Office Manger(580) 363-0052
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1009 W Ferguson Ave
Blackwell, OK 74631-5602
Phone: (580) 363-0052
Fax: (580) 363-0894
Approximate (ZIP-level) locationGet directions
Mailing address
1009 W Ferguson Ave
Blackwell, OK 74631-5602
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.