| Arkansas Verdigris Valley Health Centers, Inc. | |
|
607 S Broadway Coweta OK 74429-5000 | |
| (918) 486-5564 | |
| Not Available |
| Full Name | Arkansas Verdigris Valley Health Centers, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 607 S Broadway, Coweta, Oklahoma |
| Authorized Official Name and Position | Sonya L Smith (CEO) |
| Authorized Official Contact | 9184830111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Verdigris Valley Health Centers, Inc. Po Box 334 Porter OK 74454-0334 Ph: (918) 483-0111 | Arkansas Verdigris Valley Health Centers, Inc. 607 S Broadway Coweta OK 74429-5000 Ph: (918) 486-5564 |
| NPI Number | 1346712072 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 2961594916 |
|---|---|
| Medicare Enrollment ID | O20190213000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346712072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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