MARLO FLOURNOY — NPI 1619205788 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MADILL, OK)

CMS-1500 Box 24J / 33a • NPI

1619205788

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261QM0801X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

203 E MAIN ST, MADILL, OK, 73446-2240

✓ 9-Digit EDI 837 ZIP+4 (73446-2240)

Practice Phone & Referral Fax

(580) 672-5000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619205788 (MARLO FLOURNOY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619205788` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARLO FLOURNOY
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0801X` (Clinic/Center, Mental Health (Including Community Mental Health Center))
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	203 E MAIN ST, MADILL, OK, 73446-2240
Practice Telephone / Fax	Tel: (580) 672-5000
Administrative Mailing Address	2288 MARY ANNA RD NE, PIEDMONT, OK, 73078-9234
Enumeration & Last Sync	Enumerated: 2009-11-30 \| CMS Record Updated: 2026-02-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

203 E MAIN ST, MADILL, OK, 73446-2240

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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)

What Does Taxonomy Code 261QM0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Community Mental Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARLO FLOURNOY)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: OK \| License: `T082350173` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARLO FLOURNOY (NPI #1619205788)