Tishomingo Doctor'S Medical Clinic, PC
NPI 1508096447 · Rural Health Clinic/Center · Tishomingo, OK
Tishomingo Doctor'S Medical Clinic, PC is a Rural Health Clinic/Center organization in Tishomingo, OK (NPI 1508096447).
Provider details
- NPI number
- 1508096447
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Virginia Ragan, Director of Operations(580) 371-9117
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-07-24
- Last updated
- 2009-11-20
Frequently asked questions
- What is Tishomingo Doctor'S Medical Clinic, PC's NPI number?
- Tishomingo Doctor'S Medical Clinic, PC's National Provider Identifier (NPI) is 1508096447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tishomingo Doctor'S Medical Clinic, PC?
- Tishomingo Doctor'S Medical Clinic, PC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tishomingo Doctor'S Medical Clinic, PC located?
- Tishomingo Doctor'S Medical Clinic, PC's practice location on file with NPPES is 508 E 24th St, Tishomingo, OK 73460-3214.
- What is Tishomingo Doctor'S Medical Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Tishomingo Doctor'S Medical Clinic, PC is (580) 371-9117.
- Who is the authorized official for Tishomingo Doctor'S Medical Clinic, PC?
- The authorized official listed on Tishomingo Doctor'S Medical Clinic, PC's NPPES record is Virginia Ragan, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tishomingo Doctor'S Medical Clinic, PC's NPI active?
- Yes — Tishomingo Doctor'S Medical Clinic, PC's NPI (1508096447) is active in the NPPES registry as of the last update on 2009-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.