Organization provider

GREEN'S COUNTRY CLINIC, LLC

Medical Physician Assistant Medicare enrolled

GREEN'S COUNTRY CLINIC, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1093240749, based in Blackwell, OK. It is classified under Medical Physician Assistant.

Getting there

The practice address on file is 223 E BLACKWELL AVE, Blackwell, OK 74631. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

223 E BLACKWELL AVE, Blackwell, OK 74631 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
800 OK Medical Physician Assistant primary

This provider holds licence 800 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9638441710

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1093240749 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 1, 2017
Last updatedMay 1, 2017
StatusActive
Practice address 223 E BLACKWELL AVE
Blackwell, OK 74631
(580) 363-0943
This record was last updated on May 1, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1093240749 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 9 3 2 4 0 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 9 3 4 4 0 7 8

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1093240749?
NPI 1093240749 is the National Provider Identifier assigned to GREEN'S COUNTRY CLINIC, LLC in Blackwell, OK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact GREEN'S COUNTRY CLINIC, LLC?
The phone number on file with NPPES is (580) 363-0943, last updated May 1, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does GREEN'S COUNTRY CLINIC, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1093240749 a valid number?
Yes. 1093240749 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.