| Pavilion Clinic | |
|
2515 N Whisenant Drive Duncan OK 73533-1585 | |
| (580) 251-6806 | |
| (580) 251-6837 |
| Full Name | Pavilion Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2515 N Whisenant Drive, Duncan, Oklahoma |
| Authorized Official Name and Position | Doug Volinski (CFO) |
| Authorized Official Contact | 5802518554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilion Clinic Po Box 100 Duncan OK 73534-0100 Ph: (580) 251-8554 | Pavilion Clinic 2515 N Whisenant Drive Duncan OK 73533-1585 Ph: (580) 251-6806 |
| NPI Number | 1902347651 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 5193613057 |
|---|---|
| Medicare Enrollment ID | O20170517001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902347651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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