Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Oak Clinic LLC

Organization Clinic/Center · NPI 1366954661

Black Oak Clinic LLC is a Clinic/Center in Broken Bow, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 W 1st St
Broken Bow, OK 74728
Phone: (580) 584-3099
Fax: (580) 584-3097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1366954661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Black — Owner/Nurse Practitioner · (580) 584-3099
NPI enumeratedOctober 26, 2017
Last updated in NPPESAugust 7, 2018
Mailing address110 W 1st St, Broken Bow, OK 74728-3902

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