| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 410 North M, Hugo, Oklahoma |
| Authorized Official Name and Position | Teresa Kay Jackson (ADMINISTATOR) |
| Authorized Official Contact | 9185677000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Choctaw Way Talihina OK 74571-2022 Ph: (918) 567-7000 | 410 North M Hugo OK 74743 Ph: (918) 567-7000 |
| NPI Number | 1174599088 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174599088 | NPI | - | NPPES |
| 100699600J | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Express Care Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N 12th St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 580-317-9233 | |
Irvin Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Jackson St, Hugo, OK 74743 Phone: 580-317-9000 | |
Rowland Flatt Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 E Jackson St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 580-326-3660 | |
Infinity Aesthetic And Laser Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N 12th St, Hugo, OK 74743 Phone: 580-326-8310 | |