| Cordell Family Clinic | |
|
1200 N Glenn L English St Cordell OK 73632-2015 | |
| (580) 832-3838 | |
| (580) 832-5119 |
| Full Name | Cordell Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 N Glenn L English St, Cordell, Oklahoma |
| Authorized Official Name and Position | Georganna Lea Buss (CFO) |
| Authorized Official Contact | 5807744762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordell Family Clinic 1220 N Glenn L English St Cordell OK 73632-2010 Ph: (580) 832-3339 | Cordell Family Clinic 1200 N Glenn L English St Cordell OK 73632-2015 Ph: (580) 832-3838 |
| NPI Number | 1598117137 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 1254239197 |
|---|---|
| Medicare Enrollment ID | O20170628000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598117137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2221 (Oklahoma) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 2221 (Oklahoma) | Primary |
| Provider Name | Abby Marie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467104992 PECOS PAC ID: 3173905338 Enrollment ID: I20220804000473 |
Cordell Memorial Hospital Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 N Glenn L English St, Cordell, OK 73632 Phone: 580-832-3339 Fax: 580-832-5076 | |
Memorial Medical Group Cordell Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Glenn English, Cordell, OK 73632 Phone: 580-832-3838 Fax: 580-832-5119 |