| Burgess Family Healthcare, Llc | |
|
508 E Wilson St Valliant OK 74764-9115 | |
| (580) 933-9024 | |
| (833) 382-0111 |
| Full Name | Burgess Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 E Wilson St, Valliant, Oklahoma |
| Authorized Official Name and Position | Chabon S Burgess (OWNER/MANAGER) |
| Authorized Official Contact | 5809339024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess Family Healthcare, Llc 508 E Wilson St Valliant OK 74764-9115 Ph: (580) 933-9024 | Burgess Family Healthcare, Llc 508 E Wilson St Valliant OK 74764-9115 Ph: (580) 933-9024 |
| NPI Number | 1619479276 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 8325300718 |
|---|---|
| Medicare Enrollment ID | O20180323000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619479276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Oklahoma) | Primary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Rachel Lauren Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235637893 PECOS PAC ID: 9234491622 Enrollment ID: I20180323000381 |
| Provider Name | Rachel A Battiest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386125763 PECOS PAC ID: 6305259417 Enrollment ID: I20210111001198 |
Valliant Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 East Wilson, Valliant, OK 74764 Phone: 615-312-5103 | |
Hogan Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Terri Dr, Valliant, OK 74764 Phone: 918-689-2500 | |
Mccurtain Memorial Rural Health Clinic Valliant Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 E Terri Dr, Valliant, OK 74764 Phone: 580-933-9025 Fax: 580-933-9027 |