Black Oak Clinic LLC
NPI 1366954661ActiveOrganization· Clinic/Center· Broken Bow, OK
Clinic/Center in Broken Bow, Oklahoma, registered in NPPES in October 2017. The authorized official on file is Megan Elizabeth Black, APRN C-NP, Owner/Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366954661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2017 |
| Last updated in NPPES | Aug 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|