| Black Hawk Health Center | |
|
Rr 2 Box 247 Stroud OK 74079-9652 | |
| (918) 968-9531 | |
| (918) 968-0113 |
| Full Name | Black Hawk Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | Rr 2 Box 247, Stroud, Oklahoma |
| Authorized Official Name and Position | Ledora Mcdougle (HEALTH DIRECTOR) |
| Authorized Official Contact | 9189689531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hawk Health Center 5406 Nbu Prague OK 74864 Ph: (918) 968-9531 | Black Hawk Health Center Rr 2 Box 247 Stroud OK 74079-9652 Ph: (918) 968-9531 |
| NPI Number | 1083821011 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083821011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R0069265 (Oklahoma) | Primary |
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