| Gideon Family Care Llc | |
|
1601 Sw 89th St Ste D200 Oklahoma City OK 73159-6383 | |
| (405) 698-0156 | |
| Not Available |
| Full Name | Gideon Family Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 Sw 89th St Ste D200, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Amber Crosby (NURSE PRACTITIONER) |
| Authorized Official Contact | 4057084498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gideon Family Care Llc 1601 Sw 89th St Ste D200 Oklahoma City OK 73159-6383 Ph: (405) 708-4498 | Gideon Family Care Llc 1601 Sw 89th St Ste D200 Oklahoma City OK 73159-6383 Ph: (405) 698-0156 |
| NPI Number | 1487227617 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 09/11/2021 |
| Medicare PECOS PAC ID | 9032516976 |
|---|---|
| Medicare Enrollment ID | O20210921000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487227617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amber Lynn Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740556562 PECOS PAC ID: 6608028469 Enrollment ID: I20121201000020 |
| Provider Name | Mary Rachel Overturff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447722467 PECOS PAC ID: 0840531828 Enrollment ID: I20190402000683 |
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