| Allen Health Clinic Llc | |
|
202 W Broadway Allen OK 74824 | |
| (580) 857-2424 | |
| (580) 857-2220 |
| Full Name | Allen Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 W Broadway, Allen, Oklahoma |
| Authorized Official Name and Position | Heather Nicole Prentice (OWNER) |
| Authorized Official Contact | 5808572424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Health Clinic Llc Po Box 350 Allen OK 74825-0350 Ph: (580) 857-2424 | Allen Health Clinic Llc 202 W Broadway Allen OK 74824 Ph: (580) 857-2424 |
| NPI Number | 1083153514 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Medicare PECOS PAC ID | 1456628239 |
|---|---|
| Medicare Enrollment ID | O20170526000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083153514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 86291 (Oklahoma) | Primary |
| Provider Name | Heather N Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983961 PECOS PAC ID: 4082905948 Enrollment ID: I20160623001097 |
Tri-county Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Easton, Allen, OK 74825 Phone: 580-857-1300 Fax: 833-243-7203 | |
Rural Health Care Innovations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 N Easton, Allen, OK 74825 Phone: 580-857-1300 Fax: 580-857-1302 | |
Allen Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 West Broadway, Allen, OK 74825 Phone: 580-857-2424 Fax: 580-857-2220 | |
Lafave Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Conway, Allen, OK 74825 Phone: 580-279-5169 |