| |
520 N Monte Vista St Suite A Ada OK 74820-4674 | |
(580) 272-0922 | |
(580) 272-0811 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 520 N Monte Vista St, Ada, Oklahoma |
Authorized Official Name and Position | Leandrita Flores Ortega (MANAGER) |
Authorized Official Contact | 5802720922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
520 N Monte Vista St Suite A Ada OK 74820-4674 Ph: (580) 272-0922 | 520 N Monte Vista St Suite A Ada OK 74820-4674 Ph: (580) 272-0922 |
NPI Number | 1770609042 |
---|---|
Provider Enumeration Date | 03/21/2007 |
Last Update Date | 02/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770609042 | NPI | - | NPPES |
200102180A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 23586 (Oklahoma) | Primary |
Ada Family Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Monte Vista St, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 | |
Central Oklahoma Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-925-9149 | |
Central Oklahoma Family Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Colony Drive Bldg, Ada, OK 74820 Phone: 580-925-3286 | |
Myhealth Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Broadway Ave, Ada, OK 74820 Phone: 405-594-0191 | |