| Eastern Oklahoma Medical Consultants, Pllc | |
|
700 N Main St Gore OK 74435-2013 | |
| (918) 489-5757 | |
| (918) 489-5411 |
| Full Name | Eastern Oklahoma Medical Consultants, Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 700 N Main St, Gore, Oklahoma |
| Authorized Official Name and Position | Shelly F Keathley (OFFICE MANAGER) |
| Authorized Official Contact | 9184895757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Oklahoma Medical Consultants, Pllc Po Box 1100 Gore OK 74435-1100 Ph: (918) 489-5757 | Eastern Oklahoma Medical Consultants, Pllc 700 N Main St Gore OK 74435-2013 Ph: (918) 489-5757 |
| NPI Number | 1588147938 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588147938 | NPI | - | NPPES |
| 100126480A | Medicaid | OK | |
| 200454880A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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