Ga Du Gi Health Center | |
17611 S. Muskogee Avenue Tahlequah OK 74464 | |
(918) 207-4911 | |
(918) 458-6221 |
Full Name | Ga Du Gi Health Center |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 17611 S. Muskogee Avenue, Tahlequah, Oklahoma |
Authorized Official Name and Position | Stephen Robert Jones (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
Authorized Official Contact | 9182074911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ga Du Gi Health Center Po Box 1069 Tahlequah OK 74465-1069 Ph: (539) 234-2694 | Ga Du Gi Health Center 17611 S. Muskogee Avenue Tahlequah OK 74464 Ph: (918) 207-4911 |
NPI Number | 1093722324 |
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Provider Enumeration Date | 08/01/2006 |
Last Update Date | 11/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093722324 | NPI | - | NPPES |
100689220 Y | Medicaid | OK | |
370171 | Other | OK | MEDICARE PART A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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