| Yco Clinton Inc | |
|
120 S Madison Ave Elk City OK 73644-5741 | |
| (580) 660-5573 | |
| Not Available |
| Full Name | Yco Clinton Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 S Madison Ave, Elk City, Oklahoma |
| Authorized Official Name and Position | Robert Lobato (CFO) |
| Authorized Official Contact | 18669266552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yco Clinton Inc 120 S Madison Ave Elk City OK 73644-5741 Ph: (158) 066-0557 | Yco Clinton Inc 120 S Madison Ave Elk City OK 73644-5741 Ph: (580) 660-5573 |
| NPI Number | 1235461641 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235461641 | NPI | - | NPPES |
| 100744460 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3990 (Oklahoma) | Primary |
| 251S00000X | Community/behavioral Health | 734 (Oklahoma) | Secondary |
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