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502 South 6th Street Ringling OK 73456-0096 | |
(580) 662-2316 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 502 South 6th Street, Ringling, Oklahoma |
Authorized Official Name and Position | Phyllis Jane Mcdowell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5802282344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 96 Ringling OK 73456-0096 Ph: (580) 662-2316 | 502 South 6th Street Ringling OK 73456-0096 Ph: (580) 662-2316 |
NPI Number | 1427076074 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
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1427076074 | NPI | - | NPPES |
100730660 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 2233 (Oklahoma) | Primary |