| |
510 E Will Rogers Blvd Claremore OK 74017-8428 | |
(918) 923-6444 | |
(918) 923-6051 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 510 E Will Rogers Blvd, Claremore, Oklahoma |
Authorized Official Name and Position | Sheree Schumacher (CEO/OWNER) |
Authorized Official Contact | 9189326444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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510 E Will Rogers Blvd Claremore OK 74017-8428 Ph: (918) 923-6444 | 510 E Will Rogers Blvd Claremore OK 74017-8428 Ph: (918) 923-6444 |
NPI Number | 1982947453 |
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Provider Enumeration Date | 04/02/2013 |
Last Update Date | 04/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982947453 | NPI | - | NPPES |
200325860A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4235 (Oklahoma) | Primary |
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