Cooweescoowee Health Center | |
395200 W 2900 Rd Ochelata OK 74051-2463 | |
(918) 535-6000 | |
(918) 535-2694 |
Full Name | Cooweescoowee Health Center |
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Speciality | Clinic/center - Multi-specialty |
Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
Authorized Official Name and Position | Stephen Robert Jones (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
Authorized Official Contact | 9185356000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cooweescoowee Health Center Po Box 1069 Tahlequah OK 74465-1069 Ph: (539) 234-2694 | Cooweescoowee Health Center 395200 W 2900 Rd Ochelata OK 74051-2463 Ph: (918) 535-6000 |
NPI Number | 1871972430 |
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Provider Enumeration Date | 05/28/2015 |
Last Update Date | 11/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871972430 | NPI | - | NPPES |
370171 | Other | OK | MEDICARE PART A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |