| |
907 Nw 5th St Stigler OK 74462-1611 | |
(918) 967-0055 | |
(918) 967-2808 |
Full Name | |
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Speciality | Clinic/Center |
Location | 907 Nw 5th St, Stigler, Oklahoma |
Authorized Official Name and Position | Dorothy Lee Scott (OWNER) |
Authorized Official Contact | 9189670055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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907 Nw 5th St Stigler OK 74462-1611 Ph: (918) 967-0055 | 907 Nw 5th St Stigler OK 74462-1611 Ph: (918) 967-0055 |
NPI Number | 1851914113 |
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Provider Enumeration Date | 05/21/2020 |
Last Update Date | 02/05/2025 |
Medicare PECOS PAC ID | 7113348426 |
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Medicare Enrollment ID | O20200521002733 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851914113 | NPI | - | NPPES |
124634 | Other | OK | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Mark William Mccurry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417936337 PECOS PAC ID: 1658392220 Enrollment ID: I20051213000619 |
Provider Name | Dorothy Lee Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164041513 PECOS PAC ID: 0547697179 Enrollment ID: I20200521002862 |
Green Country Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Nw 5th St, Stigler, OK 74462 Phone: 918-967-0072 Fax: 918-967-5040 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Nw H St, Stigler, OK 74462 Phone: 888-339-7339 | |