# CLINICO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinico Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497766000
- **Authorized official:** KERRI LEE ELLIS FNP-C (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (918) 367-0010

## Contact information

- **Practice address:** 103 E MAIN, BEGGS, OK 74421-0478
- **Practice address phone:** (918) 267-7000
- **Practice address fax:** (918) 267-7077
- **Mailing address:** PO BOX 478, BEGGS, OK 74421-0478
- **Mailing address phone:** (918) 267-7000
- **Mailing address fax:** (918) 267-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | NULL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/30/2021