| Firstcare Medical Services Pc | |
|
1616 S State St Edmond OK 73013-3600 | |
| (405) 681-2273 | |
| (405) 681-2274 |
| Full Name | Firstcare Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1616 S State St, Edmond, Oklahoma |
| Authorized Official Name and Position | John Joseph Chiaffitelli (OWNER) |
| Authorized Official Contact | 4056812273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firstcare Medical Services Pc 1616 S State St Edmond OK 73013-3600 Ph: (405) 681-2273 | Firstcare Medical Services Pc 1616 S State St Edmond OK 73013-3600 Ph: (405) 681-2273 |
| NPI Number | 1750504924 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/04/2008 |
| Medicare PECOS PAC ID | 0840384244 |
|---|---|
| Medicare Enrollment ID | O20070917000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750504924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3345 (Oklahoma) | Primary |
| Provider Name | John Joseph Chiaffitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053391672 PECOS PAC ID: 8325040702 Enrollment ID: I20070214000108 |
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