| Noah Ark | |
|
9233 North East10th Street Midwest City OK 73130 | |
| (405) 549-9061 | |
| Not Available |
| Full Name | Noah Ark |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9233 North East10th Street, Midwest City, Oklahoma |
| Authorized Official Name and Position | Barbara Ann Deberry (DIRECTOR) |
| Authorized Official Contact | 4052598400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noah Ark Po Box 102 Choctaw OK 73020-0102 Ph: (405) 549-9061 | Noah Ark 9233 North East10th Street Midwest City OK 73130 Ph: (405) 549-9061 |
| NPI Number | 1497026173 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497026173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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