Ada Outpatient Clinic, Inc. | |
2901 Arlington St Ada OK 74820-2928 | |
(580) 332-8900 | |
(580) 332-9052 |
Full Name | Ada Outpatient Clinic, Inc. |
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Speciality | Family Medicine |
Location | 2901 Arlington St, Ada, Oklahoma |
Authorized Official Name and Position | Cynthia Elaine Yarberry (OFFICE MANAGER) |
Authorized Official Contact | 5803328900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ada Outpatient Clinic, Inc. 2901 Arlington St Ada OK 74820-2928 Ph: (580) 332-8900 | Ada Outpatient Clinic, Inc. 2901 Arlington St Ada OK 74820-2928 Ph: (580) 332-8900 |
NPI Number | 1801002118 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 05/05/2010 |
Medicare PECOS PAC ID | 2365579752 |
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Medicare Enrollment ID | O20100415000698 |
Identifier | Type | State | Issuer |
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1801002118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John K Falsarella |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861440455 PECOS PAC ID: 4880626472 Enrollment ID: I20100506000248 |
Provider Name | James F Wight |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972561116 PECOS PAC ID: 9739217191 Enrollment ID: I20100506000275 |
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