| Cushing Medical Specialist | |
|
1025 E 2nd St Cushing OK 74023-4136 | |
| (918) 225-3627 | |
| Not Available |
| Full Name | Cushing Medical Specialist |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 E 2nd St, Cushing, Oklahoma |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP GENERAL COUNSEL) |
| Authorized Official Contact | 6152963594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cushing Medical Specialist 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3594 | Cushing Medical Specialist 1025 E 2nd St Cushing OK 74023-4136 Ph: (918) 225-3627 |
| NPI Number | 1922683051 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 9436122496 |
|---|---|
| Medicare Enrollment ID | O20210401000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922683051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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