Eastside Clinic | |
22408 Highway 51 Tahlequah OK 74464-2058 | |
(918) 456-6250 | |
(918) 456-4080 |
Full Name | Eastside Clinic |
---|---|
Speciality | Family Medicine |
Location | 22408 Highway 51, Tahlequah, Oklahoma |
Authorized Official Name and Position | James Mark Seratt (OWNER/DOCTOR) |
Authorized Official Contact | 9184566250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastside Clinic Po Box 59 Tahlequah OK 74465-0059 Ph: (918) 456-6250 | Eastside Clinic 22408 Highway 51 Tahlequah OK 74464-2058 Ph: (918) 456-6250 |
NPI Number | 1023295193 |
---|---|
Provider Enumeration Date | 01/30/2008 |
Last Update Date | 07/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023295193 | NPI | - | NPPES |
4111208 | Other | OK | AETNA |
C95468 | Other | OK | UPIN |
110118510A | Medicaid | OK | |
445569081002 | Other | OK | BLUECROSS AND BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15674 (Oklahoma) | Primary |
Lifelong Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 E Ross Byp Ste C, Tahlequah, OK 74464 Phone: 918-458-0700 Fax: 918-458-0424 | |
Donna L Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 East Downing Street, Tahlequah, OK 74464 Phone: 918-456-1009 Fax: 918-456-1025 | |
Northeastern Oklahoma Community Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 103, Tahlequah, OK 74464 Phone: 918-708-3580 Fax: 918-506-6041 | |
401 Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-316-3764 Fax: 918-398-8982 | |
Tahlequah Ent Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1203 E Ross Byp, Tahlequah, OK 74464 Phone: 918-453-9002 Fax: 918-453-0328 | |
Tmg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 Fax: 918-453-2341 |