MEDICARE: OK-ARK HEALTH CARE CLINIC

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	235Z00000X	Speech-Language Pathologist
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1881538379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OK-ARK HEALTH CARE CLINIC

Provider Business Mailing Address
First Line	:	205 E RAY FINE BLVD STE 9
Second Line	:
City	:	ROLAND
State	:	OK
Zip	:	74954-5380
Country	:	US
Telephone Number	:	479-222-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 E RAY FINE BLVD STE 9
Second Line	:
City	:	ROLAND
State	:	OK
Zip	:	74954-5380
Country	:	US
Telephone Number	:	479-222-8282
Fax Number	:

Authorized Official
Title or Position	:	CEO/MEDICAL DIRECTOR
Name	:	BERNARD MICHAEL TOUGAS
Credential	:	PA
Telephone Number	:	479-222-8282

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “OK-ARK HEALTH CARE CLINIC ” Practice Location

Language	Start Address	Practice Location

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