Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sallisaw Medical Clinic LLC

Organization Family Medicine Physician · NPI 1306118377

Sallisaw Medical Clinic LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
Phone: (918) 790-2890
Fax: (918) 790-2906
Show map & directions

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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