Full Name | |
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Speciality | Clinic/Center |
Location | 119 W Main St, Hominy, Oklahoma |
Authorized Official Name and Position | Karen Mcconnell (CEO) |
Authorized Official Contact | 9186423100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
212 N Main St Fairfax OK 74637-3023 Ph: (918) 642-3100 | 119 W Main St Hominy OK 74035 Ph: (918) 885-4640 |
NPI Number | 1609040864 |
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Provider Enumeration Date | 04/18/2008 |
Last Update Date | 06/18/2024 |
Medicare PECOS PAC ID | 4284663360 |
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Medicare Enrollment ID | O20070719000677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609040864 | NPI | - | NPPES |
200071420E | Medicaid | OK |
Provider Name | Katrina Janet Darcey |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1518606599 PECOS PAC ID: 0042699894 Enrollment ID: I20220624000738 |
Heel To Toe Foot Care Plus Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Price Ave, Hominy, OK 74035 Phone: 918-885-1264 Fax: 918-885-1265 |