| Clinic At Wellston | |
|
309 West 2nd Street Suite B Wellston OK 74881 | |
| (405) 356-3035 | |
| (405) 356-3035 |
| Full Name | Clinic At Wellston |
|---|---|
| Speciality | Family Medicine |
| Location | 309 West 2nd Street, Wellston, Oklahoma |
| Authorized Official Name and Position | Sisne Libre' Groff (OWNER/OPERATOR) |
| Authorized Official Contact | 9189069643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic At Wellston Po Box 708 Wellston OK 74881-0708 Ph: (918) 906-9643 | Clinic At Wellston 309 West 2nd Street Suite B Wellston OK 74881 Ph: (405) 356-3035 |
| NPI Number | 1528589546 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528589546 | NPI | - | NPPES |
| 200002570A | Medicaid | OK | |
| 100227020A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellston Family Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W. 2nd St., Wellston, OK 74881 Phone: 405-356-2998 Fax: 405-258-0498 | |
Country Care Family Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W 2nd St, Wellston, OK 74881 Phone: 405-473-7053 Fax: 405-832-1144 | |
Country Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W 2nd St Ste B, Wellston, OK 74881 Phone: 405-356-3001 Fax: 405-832-1144 |