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Deactivated NPI 1730393620 Deactivated / Inactive NPI Female Practitioner

Obelene Clark

Lodging • Okemah, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Obelene Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2007
NPI Deactivation Date April 24, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Obelene Clark was a registered Lodging practicing in Okemah, OK. Throughout an active medical career spanning 17 years, Obelene Clark provided care at the practice location at 324 S 4TH ST until profile deactivation on 2024-04-24.

Practice Location & Contact Primary Location

Practice Address

324 S 4th St

Okemah, OK 748593848

Telephone 9186231634

Specialty Benchmarks & Practice Insights

Comparative analytics for Lodging in Okemah, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Okemah, OK (17 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Lodging Primary Specialty

NUCC Taxonomy Code: 177F00000X

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2024

Record deactivated on April 24, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 324 S 4TH ST, OKEMAH, OK 748593848 (Tel: 9186231634)

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Updated Business Mailing Address July 08, 2007

Registered at 324 S 4TH ST, OKEMAH, OK 748593848 (Tel: 9186231634)

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Provider Name / Credentials Updated July 08, 2007

Recorded as OBELENE CLARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Lodging

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Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730393620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: July 08, 2007
Deactivation Date: April 24, 2024

Mailing Address

324 S 4th St

Okemah, OK 748593848

Phone: 9186231634

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.