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1611 Main St Ste 102 Woodward OK 73801-3064 | |
| (580) 254-8692 | |
| (580) 254-2718 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1611 Main St Ste 102, Woodward, 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 |
|---|---|
900 17th St Woodward OK 73801-2448 Ph: (580) 256-5511 | 1611 Main St Ste 102 Woodward OK 73801-3064 Ph: (580) 254-8692 |
| NPI Number | 1063767259 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063767259 | NPI | - | NPPES |
| 20019120J | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
James R Garner Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St, Woodward, OK 73801 Phone: 580-256-2820 Fax: 580-256-2454 | |
Ofelia Marin, Aprn, Fnp-bc, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1418 Main St, Woodward, OK 73801 Phone: 580-216-0246 Fax: 405-913-1048 | |
John D. Sutton, Md. Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Kansas Ave, Woodward, OK 73801 Phone: 580-216-6601 | |
Team Clinics Ah, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 13th St, Woodward, OK 73801 Phone: 405-546-4130 | |
Agape Health Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Kansas Ave, Woodward, OK 73801 Phone: 580-254-3396 Fax: 580-254-5311 |