| |
2204 E Main St Stigler OK 74462-2822 | |
(918) 567-7000 | |
(918) 567-7041 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2204 E Main St, Stigler, Oklahoma |
Authorized Official Name and Position | Teresa Kay Jackson (ADMINISTRATOR) |
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 | 2204 E Main St Stigler OK 74462-2822 Ph: (918) 567-7000 |
NPI Number | 1184690026 |
---|---|
Provider Enumeration Date | 02/28/2006 |
Last Update Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184690026 | NPI | - | NPPES |
100699600T | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Green Country Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Nw 5th St, Stigler, OK 74462 Phone: 918-967-0072 Fax: 918-967-5040 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Nw H St, Stigler, OK 74462 Phone: 888-339-7339 | |