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

Hcc of Shattuck, LLC

Organization Emergency Medicine Physician · NPI 1124661624

Hcc of Shattuck, LLC is an Emergency Medicine Physician in Shattuck, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

905 S Main St
Shattuck, OK 73858-9205
Phone: (580) 938-2551
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1124661624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Bolar — Ceo · (972) 934-3200
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address7725 W Reno Ave Ste 150, Oklahoma City, OK 73127-9712