| Collinsville Family Clinic, Inc. | |
|
1205 W Main St Collinsville OK 74021-3114 | |
| (918) 371-6022 | |
| (918) 371-3168 |
| Full Name | Collinsville Family Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 W Main St, Collinsville, Oklahoma |
| Authorized Official Name and Position | Jerry D. Patton (OWNER) |
| Authorized Official Contact | 9183716022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collinsville Family Clinic, Inc. 1205 W Main St Collinsville OK 74021-3114 Ph: (918) 371-6022 | Collinsville Family Clinic, Inc. 1205 W Main St Collinsville OK 74021-3114 Ph: (918) 371-6022 |
| NPI Number | 1235259573 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235259573 | NPI | - | NPPES |
| 1801890454 | Other | OK | NPI INDIVIDUAL |
| 100251820A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1872 (Oklahoma) | Primary |
Medical Arts Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-371-5885 Fax: 918-371-5986 | |
Jake W. Landreth, Dc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S 11th St, Collinsville, OK 74021 Phone: 991-837-1284 Fax: 918-553-8802 | |
Treasured Pediatric Care Hilary Nicholson Aprn-cnp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 W Main St, Suite 112, Collinsville, OK 74021 Phone: 918-553-8613 Fax: 918-371-2332 | |
Fred M. Ingram, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-371-5885 Fax: 918-371-5986 | |
James E Hereford, Dds, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Main St, Collinsville, OK 74021 Phone: 918-371-3375 Fax: 918-371-4407 |