| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 E Delaware, Mcalester, Oklahoma |
| Authorized Official Name and Position | Virginia Sue Bedwell (AREA PROGRAM DIRECTOR) |
| Authorized Official Contact | 9184291100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 100 Krebs OK 74554 Ph: (918) 429-1100 | 501 E Delaware Mcalester OK 74501 Ph: (918) 429-1100 |
| NPI Number | 1780801373 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780801373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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