Providence Of Oklahoma | |
117 E Main St Hugo OK 74743-6237 | |
(580) 326-7477 | |
(580) 326-6400 |
Full Name | Providence Of Oklahoma |
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Speciality | Community/behavioral Health |
Location | 117 E Main St, Hugo, Oklahoma |
Authorized Official Name and Position | Annjavetta D Babb (PSRS) |
Authorized Official Contact | 5803267477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Of Oklahoma 117 E Main St Hugo OK 74743-6237 Ph: (580) 326-7477 | Providence Of Oklahoma 117 E Main St Hugo OK 74743-6237 Ph: (580) 326-7477 |
NPI Number | 1790008902 |
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Provider Enumeration Date | 03/03/2010 |
Last Update Date | 03/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790008902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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