Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 623 Avenue C, Beaver, 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 |
---|---|
623 Avenue C Beaver OK 73932-3126 Ph: (580) 625-2273 | 623 Avenue C Beaver OK 73932-3126 Ph: (580) 625-2273 |
NPI Number | 1689124497 |
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Provider Enumeration Date | 10/05/2016 |
Last Update Date | 04/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689124497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 2252 (Oklahoma) | Primary |
High Plains Medical Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Avenue C, Beaver, OK 73932 Phone: 580-625-4854 Fax: 580-625-4854 |