| Community Physicians Group | |
|
419 S Williams Westville OK 74965 | |
| (918) 723-5456 | |
| (918) 723-4080 |
| Full Name | Community Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 419 S Williams, Westville, Oklahoma |
| Authorized Official Name and Position | Kelly E Chambers (BILLING MANAGER) |
| Authorized Official Contact | 4795493079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Group Po Box 1374 Siloam Springs AR 72761-1374 Ph: (479) 549-3079 | Community Physicians Group 419 S Williams Westville OK 74965 Ph: (918) 723-5456 |
| NPI Number | 1043493992 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043493992 | NPI | - | NPPES |
| CI2712 | Other | OK | RR MEDICARE |
| 135299002 | Medicaid | AR | |
| 5C090 | Other | AR | BCBS |
| 100747540A | Medicaid | OK | |
| CI2710 | Other | AR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Neohealth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1779 Buffington Rd, Westville, OK 74965 Phone: 918-723-3997 Fax: 918-723-3889 |