Dayspring Community Services | |
400 E Central Ave Suite 504 Ponca City OK 74601-5429 | |
(918) 712-0859 | |
(918) 388-9708 |
Full Name | Dayspring Community Services |
---|---|
Speciality | Community/behavioral Health |
Location | 400 E Central Ave, Ponca City, Oklahoma |
Authorized Official Name and Position | Jamie Witmer (REGIONAL DIRECTOR) |
Authorized Official Contact | 9187120859 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dayspring Community Services 400 E Central Ave Suite 504 Ponca City OK 74601-5429 Ph: (918) 712-0859 | Dayspring Community Services 400 E Central Ave Suite 504 Ponca City OK 74601-5429 Ph: (918) 712-0859 |
NPI Number | 1760895684 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 06/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760895684 | NPI | - | NPPES |
100746170 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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