Canadian County | |
7905 East Highway 66 El Reno OK 73036 | |
(405) 262-0202 | |
(405) 262-0259 |
Full Name | Canadian County |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7905 East Highway 66, El Reno, Oklahoma |
Authorized Official Name and Position | Joan South (FACILITY DIRECTOR) |
Authorized Official Contact | 4052620202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Canadian County 7905 East Highway 66 El Reno OK 73036 Ph: (405) 262-0202 | Canadian County 7905 East Highway 66 El Reno OK 73036 Ph: (405) 262-0202 |
NPI Number | 1245450444 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245450444 | NPI | - | NPPES |
2000727780 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | K850000246 (Oklahoma) | Primary |
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