Clinton Hospital Authority | |
100 N 30th St Clinton OK 73601-3117 | |
(580) 547-5128 | |
(580) 547-5011 |
Full Name | Clinton Hospital Authority |
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Speciality | Family Medicine |
Location | 100 N 30th St, Clinton, Oklahoma |
Authorized Official Name and Position | Len Lacefield (CEO) |
Authorized Official Contact | 4054546058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinton Hospital Authority Po Box 1177 Clinton OK 73601-1177 Ph: (580) 323-0261 | Clinton Hospital Authority 100 N 30th St Clinton OK 73601-3117 Ph: (580) 547-5128 |
NPI Number | 1528812237 |
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Provider Enumeration Date | 04/17/2024 |
Last Update Date | 04/17/2024 |
Medicare PECOS PAC ID | 5092163873 |
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Medicare Enrollment ID | O20240530000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528812237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David Rothwell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417929308 PECOS PAC ID: 2567423239 Enrollment ID: I20041029000447 |
Provider Name | Carl L Laffoon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073594032 PECOS PAC ID: 2163335027 Enrollment ID: I20051216000619 |
Provider Name | Yumee Chendra Bodenhamer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063833309 PECOS PAC ID: 0345470910 Enrollment ID: I20140226001447 |
Provider Name | Darbi Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003043480 PECOS PAC ID: 4981744091 Enrollment ID: I20140228001614 |
Provider Name | Jeffery D Barlow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043248701 PECOS PAC ID: 8123259256 Enrollment ID: I20140402001690 |
Provider Name | John Ross Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386050441 PECOS PAC ID: 9234452418 Enrollment ID: I20141218001916 |
Provider Name | John Karlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225436876 PECOS PAC ID: 3577887124 Enrollment ID: I20150130001050 |
Provider Name | Laura E Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730554726 PECOS PAC ID: 9234435124 Enrollment ID: I20160302000935 |
Provider Name | Audrianna Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
Provider Name | Daniel T Laakman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720565302 PECOS PAC ID: 3678826641 Enrollment ID: I20181022003168 |
Provider Name | Stefany Sue Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023657434 PECOS PAC ID: 5092144113 Enrollment ID: I20200410000210 |
Provider Name | Jerry Baez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851866222 PECOS PAC ID: 7315356342 Enrollment ID: I20210504001481 |
Provider Name | Fabian Gallegos Gilbert Gallegos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013529791 PECOS PAC ID: 0143629212 Enrollment ID: I20210521000189 |
Provider Name | Susan Potter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831270420 PECOS PAC ID: 2860409794 Enrollment ID: I20211005000965 |
Provider Name | Deanna Lynn Scruggs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740830918 PECOS PAC ID: 4880010669 Enrollment ID: I20230222002678 |
Robert V Blakeburn Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2718 | |
Westview Health Clinic, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Hayes Ave, Clinton, OK 73601 Phone: 580-323-1937 | |
Gary G. Hays Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 S 30th St, Clinton, OK 73601 Phone: 580-323-4141 Fax: 580-323-5065 | |
Variety Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 4th St, Clinton, OK 73061 Phone: 405-632-6688 |