| Chci Shawnee Family Medical Center | |
|
130 N Broadway Suite 300 Shawnee OK 74801-6939 | |
| (405) 395-0399 | |
| (405) 395-0330 |
| Full Name | Chci Shawnee Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 N Broadway, Shawnee, Oklahoma |
| Authorized Official Name and Position | Isabella Lawson (CEO) |
| Authorized Official Contact | 4057693301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chci Shawnee Family Medical Center P.o. Box 30589 Midwest City OK 73140-3589 Ph: (405) 769-3301 | Chci Shawnee Family Medical Center 130 N Broadway Suite 300 Shawnee OK 74801-6939 Ph: (405) 395-0399 |
| NPI Number | 1851727754 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 07/10/2020 |
| Medicare PECOS PAC ID | 4688584436 |
|---|---|
| Medicare Enrollment ID | O20140421000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851727754 | NPI | - | NPPES |
| 100709120N | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Louisa Ave, Shawnee, OK 74801 Phone: 405-273-1846 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 N Kennedy Ave Ste B, Shawnee, OK 74801 Phone: 405-600-6869 | |
Oklahoma Baptist University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W University St, Shawnee, OK 74804 Phone: 405-878-2153 | |
Ssm Health Medical Group Shawnee Kickapoo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-273-6383 Fax: 405-273-3748 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-600-6869 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E Independence St, Shawnee, OK 74804 Phone: 405-600-6869 | |
Meridian Long Term Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17393 S Rock Creek Rd, Shawnee, OK 74801 Phone: 469-387-0861 |