| Country Care Family Clinic, Llc | |
|
304 W 2nd St Wellston OK 74881-9496 | |
| (405) 473-7053 | |
| (405) 832-1144 |
| Full Name | Country Care Family Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 W 2nd St, Wellston, Oklahoma |
| Authorized Official Name and Position | Sherry Diann Mitchell (OWNER) |
| Authorized Official Contact | 4055321943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Care Family Clinic, Llc Po Box 5862 Edmond OK 73083-5862 Ph: () - | Country Care Family Clinic, Llc 304 W 2nd St Wellston OK 74881-9496 Ph: (405) 473-7053 |
| NPI Number | 1063058840 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063058840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellston Family Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W. 2nd St., Wellston, OK 74881 Phone: 405-356-2998 Fax: 405-258-0498 | |
Clinic At Wellston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 West 2nd Street, Suite B, Wellston, OK 74881 Phone: 405-356-3035 Fax: 405-356-3035 | |
Country Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W 2nd St Ste B, Wellston, OK 74881 Phone: 405-356-3001 Fax: 405-832-1144 |