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

Sallisaw Medical Clinic LLC

Organization Family Medicine Physician · NPI 1306118377

Sallisaw Medical Clinic LLC is a Family Medicine Physician in Sallisaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
Specialties on file
3
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

202 E Cherokee Ave
Sallisaw, OK 74955-4600
Phone: (918) 790-2890
Fax: (918) 790-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4825 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4840 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R0074165 (OK)

Record details

NPI number1306118377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Poitevint — Owner · (918) 790-2890
NPI enumeratedFebruary 6, 2012
Last updated in NPPESFebruary 6, 2012
Mailing address202 E Cherokee Ave, Sallisaw, OK 74955-4600

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