Eastern Oklahoma Health Clinic Of Atoka | |
1668 W Liberty Rd Atoka OK 74525-1703 | |
(580) 889-3355 | |
(580) 889-5272 |
Full Name | Eastern Oklahoma Health Clinic Of Atoka |
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Speciality | Clinic/Center |
Location | 1668 W Liberty Rd, Atoka, Oklahoma |
Authorized Official Name and Position | Trent Bourland (CEO) |
Authorized Official Contact | 5809272327 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Oklahoma Health Clinic Of Atoka Po Box 326 Coalgate OK 74538-0326 Ph: (580) 927-2327 | Eastern Oklahoma Health Clinic Of Atoka 1668 W Liberty Rd Atoka OK 74525-1703 Ph: (580) 889-3355 |
NPI Number | 1639877871 |
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Provider Enumeration Date | 02/17/2023 |
Last Update Date | 10/12/2023 |
Medicare PECOS PAC ID | 8022901396 |
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Medicare Enrollment ID | O20180730001593 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639877871 | NPI | - | NPPES |
100774650H | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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