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12005 E 470 Rd Claremore OK 74017-3737 | |
| (918) 342-0770 | |
| (918) 342-0087 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12005 E 470 Rd, Claremore, Oklahoma |
| Authorized Official Name and Position | Larry Smith (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | 12005 E 470 Rd Claremore OK 74017-3737 Ph: (918) 342-0770 |
| NPI Number | 1982472379 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982472379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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