401 Medical Center Pllc | |
401 E Downing St Tahlequah OK 74464-3015 | |
(918) 316-3764 | |
(918) 398-8982 |
Full Name | 401 Medical Center Pllc |
---|---|
Speciality | Clinic/Center |
Location | 401 E Downing St, Tahlequah, Oklahoma |
Authorized Official Name and Position | Nancy E. Denton (OWNER/ APRN) |
Authorized Official Contact | 9183166369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
401 Medical Center Pllc 401 E Downing St Tahlequah OK 74464-3015 Ph: (918) 316-3764 | 401 Medical Center Pllc 401 E Downing St Tahlequah OK 74464-3015 Ph: (918) 316-3764 |
NPI Number | 1063296937 |
---|---|
Provider Enumeration Date | 08/22/2023 |
Last Update Date | 08/24/2023 |
Medicare PECOS PAC ID | 7113381377 |
---|---|
Medicare Enrollment ID | O20230907000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063296937 | NPI | - | NPPES |
1013603232 | Other | OK | NPI |
201173250A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Nancy Ellen Denton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013603232 PECOS PAC ID: 7911361175 Enrollment ID: I20230907000707 |
Eastside Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22408 Highway 51, Tahlequah, OK 74464 Phone: 918-456-6250 Fax: 918-456-4080 | |
Lifelong Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 E Ross Byp Ste C, Tahlequah, OK 74464 Phone: 918-458-0700 Fax: 918-458-0424 | |
Donna L Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 East Downing Street, Tahlequah, OK 74464 Phone: 918-456-1009 Fax: 918-456-1025 | |
Northeastern Oklahoma Community Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 103, Tahlequah, OK 74464 Phone: 918-708-3580 Fax: 918-506-6041 | |
Tahlequah Ent Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1203 E Ross Byp, Tahlequah, OK 74464 Phone: 918-453-9002 Fax: 918-453-0328 | |
Tmg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 Fax: 918-453-2341 |