Fort Gibson Medical Clinic | |
104 Lone Oak Cir Fort Gibson OK 74434-5001 | |
(918) 478-2101 | |
(918) 478-6008 |
Full Name | Fort Gibson Medical Clinic |
---|---|
Speciality | Clinic/Center |
Location | 104 Lone Oak Cir, Fort Gibson, Oklahoma |
Authorized Official Name and Position | Julie Ward (CFO) |
Authorized Official Contact | 9184532120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fort Gibson Medical Clinic Po Box 500 Tahlequah OK 74465-0500 Ph: (918) 478-2101 | Fort Gibson Medical Clinic 104 Lone Oak Cir Fort Gibson OK 74434-5001 Ph: (918) 478-2101 |
NPI Number | 1013458652 |
---|---|
Provider Enumeration Date | 03/15/2017 |
Last Update Date | 05/18/2017 |
Medicare PECOS PAC ID | 1456255025 |
---|---|
Medicare Enrollment ID | O20170605000888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013458652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Limitless Physical Therapy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 S Lee St, Fort Gibson, OK 74434 Phone: 918-207-7298 |