SALLISAW MEDICAL CLINIC LLC – Family Medicine Physician, NPI 1306118377

SALLISAW MEDICAL CLINIC LLC is a healthcare provider. based in Sallisaw, Oklahoma. specializing in Family Medicine Physician. The organization holds a License No. 4840 (OK). The NPI Number for SALLISAW MEDICAL CLINIC LLC is 1306118377

Main info

Organization
Name
SALLISAW MEDICAL CLINIC LLC
NPI
1306118377
Phone
(918) 790-2890
Address
202 E CHEROKEE AVE
Authorized Official
AMELIA L POITEVINT OWNER
Enumeration Date
6 February 2012
Last Update Date
6 February 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for SALLISAW MEDICAL CLINIC LLC

  • 202 E CHEROKEE AVE

    SALLISAW, OK 749554600

    Phone: (918) 790-2890

    Fax: (918) 790-2906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74955)

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Reviews

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Frequently asked questions

Can I verify SALLISAW MEDICAL CLINIC LLC with an NPI only?
You can start verification with NPI 1306118377 for SALLISAW MEDICAL CLINIC LLC, then check state licensing separately.
Is SALLISAW MEDICAL CLINIC LLC listed as active for patients and plans?
The listing shows SALLISAW MEDICAL CLINIC LLC as active in the NPI system.
What is SALLISAW MEDICAL CLINIC LLC's primary classification?
Family Medicine Physician is the headline specialty for SALLISAW MEDICAL CLINIC LLC here. Clinical services aligned with this taxonomy classification.
Does SALLISAW MEDICAL CLINIC LLC list a practice location?
Patients near Sallisaw, Oklahoma may find SALLISAW MEDICAL CLINIC LLC in results; validate coverage separately.
Why does SALLISAW MEDICAL CLINIC LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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