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NPI 1912266644ActiveOrganization· Exclusive Provider Organization· Enid, OK

Exclusive Provider Organization in Enid, Oklahoma, registered in NPPES in May 2012. The authorized official on file is Kelly Sue Amos, Victim Advocate.

Overview

NPI1912266644
StatusActive
Entity typeOrganization
NPI issuedMay 15, 2012
Last updated in NPPESMay 15, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X302F00000XOK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Exclusive Provider Organization providers in Enid

All Exclusive Provider Organization providers in Oklahoma