Physician Assistant, Medical
GREEN'S COUNTRY CLINIC, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1093240749 · enumerated 2017-05-01 · record updated 2017-05-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PHIL GREEN PA-C, Physician Assistant · (580) 363-0943
Addresses and phones
- Mailing address 223 E BLACKWELL AVE, BLACKWELL, OK, 74631-2909 Google Maps Apple Maps OpenStreetMap
- Practice location 223 E BLACKWELL AVE, BLACKWELL, OK, 74631-2909 (580) 363-0943 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 800 OK
In this directory
Locations and evidence
-
Practice location
BLACKWELL, OK, 746312909
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.