| Family Healthcare Clinic Shawnee | |
|
3204 Medical Park Dr Shawnee OK 74804-5014 | |
| (405) 878-6800 | |
| (405) 878-3794 |
| Full Name | Family Healthcare Clinic Shawnee |
|---|---|
| Speciality | Family Medicine |
| Location | 3204 Medical Park Dr, Shawnee, Oklahoma |
| Authorized Official Name and Position | Shasta R Manuel (VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 4052727282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Clinic Shawnee Po Box 958210 Saint Louis MO 63195-8210 Ph: (405) 231-3857 | Family Healthcare Clinic Shawnee 3204 Medical Park Dr Shawnee OK 74804-5014 Ph: (405) 878-6800 |
| NPI Number | 1508212572 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508212572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
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Ssm Health Medical Group Shawnee Kickapoo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-273-6383 Fax: 405-273-3748 | |
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Meridian Long Term Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17393 S Rock Creek Rd, Shawnee, OK 74801 Phone: 469-387-0861 |