| Careatc - City Of Edmond | |
|
28 E Main St Suite 100 Edmond OK 73034-4502 | |
| (800) 993-8244 | |
| (855) 487-5223 |
| Full Name | Careatc - City Of Edmond |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 28 E Main St, Edmond, Oklahoma |
| Authorized Official Name and Position | Keith Gucwa (DIRECTOR OF PURCHASING AND FACILITI) |
| Authorized Official Contact | 9187797416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc - City Of Edmond 28 E Main St Suite 100 Edmond OK 73034-4502 Ph: (800) 993-8244 | Careatc - City Of Edmond 28 E Main St Suite 100 Edmond OK 73034-4502 Ph: (800) 993-8244 |
| NPI Number | 1922552348 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922552348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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