MEDICARE: WESTVIEW HEALTH CLINIC, PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	R0057523	OK

General Provider Information

NPI Number	:	1184674392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW HEALTH CLINIC, PLC

Provider Business Mailing Address
First Line	:	3140 HAYES AVE
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-3601
Country	:	US
Telephone Number	:	580-323-1937
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 HAYES AVE
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-3601
Country	:	US
Telephone Number	:	580-323-1937
Fax Number	:

Authorized Official
Title or Position	:	OWNER/NURSE PRACTITIONER
Name	:	MRS. KRISTY RENEA BAKER
Credential	:	ARNP
Telephone Number	:	580-323-1937

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/22/2020

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