| Alliancehealth Clinic Shawnee | |
|
3700 N Kickapoo Ave Ste 124 Shawnee OK 74804-0007 | |
| (405) 273-6383 | |
| (405) 214-1078 |
| Full Name | Alliancehealth Clinic Shawnee |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3700 N Kickapoo Ave Ste 124, Shawnee, Oklahoma |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR / DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliancehealth Clinic Shawnee 3700 N Kickapoo Ave Ste 124 Shawnee OK 74804-0007 Ph: (405) 273-6383 | Alliancehealth Clinic Shawnee 3700 N Kickapoo Ave Ste 124 Shawnee OK 74804-0007 Ph: (405) 273-6383 |
| NPI Number | 1689177370 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689177370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2342 (Oklahoma) | Primary |
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