OrganizationActive
Tishomingo Doctor'S Medical Clinic, PC
NPI 1508096447 · Rural Health Clinic/Center · Tishomingo, OK
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
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
508 E 24th St
Tishomingo, OK 73460-3214
Phone: (580) 371-9117
Fax: (580) 371-3170
Street-level locationGet directions
Mailing address
508 E 24th St
Tishomingo, OK 73460-3214
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 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.