OrganizationActive
Country Care Clinic
NPI 1770115933 · Primary Care Clinic/Center · Wellston, OK
Provider details
- NPI number
- 1770115933
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Green, Owner(405) 356-3001
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
309 W 2nd St Ste B
Wellston, OK 74881-9496
Phone: (405) 356-3001
Fax: (405) 832-1144
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 304
Wellston, OK 74881-0304
Registry dates
- Enumerated
- 2020-02-06
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.