| Entrust Dpc Pllc | |
|
1425 N Main St Ste 1 Fairview OK 73737-2703 | |
| (580) 227-8647 | |
| (580) 603-8602 |
| Full Name | Entrust Dpc Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 N Main St Ste 1, Fairview, Oklahoma |
| Authorized Official Name and Position | Andrea E Mceachern (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5802278647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entrust Dpc Pllc 1425 N Main St Ste 1 Fairview OK 73737-2703 Ph: (580) 227-8647 | Entrust Dpc Pllc 1425 N Main St Ste 1 Fairview OK 73737-2703 Ph: (580) 227-8647 |
| NPI Number | 1841941887 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841941887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fairview Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 E State Rd, Fairview, OK 73737 Phone: 580-227-2585 Fax: 580-227-1382 | |
Fairview Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 E State Rd, Fairview, OK 73737 Phone: 580-227-2585 Fax: 580-227-2882 | |
Fairview Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 E State Rd, Fairview, OK 73737 Phone: 580-227-3721 Fax: 580-227-2882 |