| |
1800 E Coplin St Okemah OK 74859-4642 | |
(918) 623-1424 | |
(918) 623-3015 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 1800 E Coplin St, Okemah, Oklahoma |
Authorized Official Name and Position | Shawn Terry (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9187564333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dept 1467 Tulsa OK 74182-0001 Ph: (918) 756-4333 | 1800 E Coplin St Okemah OK 74859-4642 Ph: (918) 623-1424 |
NPI Number | 1689727588 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 10/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689727588 | NPI | - | NPPES |
100700620D | Medicaid | OK | |
100689260A | Medicaid | OK | |
100730400A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
Creek Nation Hospital & Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 E Coplin St, Okemah, OK 74859 Phone: 918-623-1424 | |