| Family Care Clinic Inc | |
|
1506 W Chickasaw Ave Sallisaw OK 74955-7200 | |
| (918) 776-0050 | |
| (918) 776-0065 |
| Full Name | Family Care Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 1506 W Chickasaw Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Mark Rogow (PHYSICIAN) |
| Authorized Official Contact | 9187760050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic Inc 1506 W Chickasaw Ave Sallisaw OK 74955-7200 Ph: (918) 776-0050 | Family Care Clinic Inc 1506 W Chickasaw Ave Sallisaw OK 74955-7200 Ph: (918) 776-0050 |
| NPI Number | 1629507918 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629507918 | NPI | - | NPPES |
| 200245750 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 27009 (Oklahoma) | Primary |
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