| Clinica De Salud Y Bienestar Hispano | |
|
2706 N Broadway St Poteau OK 74953-5402 | |
| (918) 647-7100 | |
| (918) 647-7101 |
| Full Name | Clinica De Salud Y Bienestar Hispano |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2706 N Broadway St, Poteau, Oklahoma |
| Authorized Official Name and Position | Elizabeth Louise Banda (VICE PRESIDENT) |
| Authorized Official Contact | 9186477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Salud Y Bienestar Hispano 2706 N Broadway St Poteau OK 74953-5402 Ph: (918) 647-7100 | Clinica De Salud Y Bienestar Hispano 2706 N Broadway St Poteau OK 74953-5402 Ph: (918) 647-7100 |
| NPI Number | 1265887616 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265887616 | NPI | - | NPPES |
| 200597420A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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