Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Green'S Country Clinic, LLC

Medical Physician Assistant in Blackwell, OK · enumerated 2017 · authorized official Phil Green, Physician Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093240749

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Registry record

Entity type Organization (Type 2)

Legal business name Green'S Country Clinic, LLC

Practice address 223 E Blackwell Ave, Blackwell, OK, 74631

Phone (580) 363-0943

Enumeration date May 1, 2017

Last updated in NPPES May 1, 2017

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 800 (OK) Primary

Authorized official

Name Phil Green

Title Physician Assistant

Phone (580) 363-0943

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-01. Verify at npiregistry.cms.hhs.gov.

Where is Green'S Country Clinic, LLC located?

The practice location on file with NPPES is in Blackwell, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-01.