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2615 E Randolph Ave Enid OK 73701-4670 | |
(580) 596-2800 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2615 E Randolph Ave, Enid, Oklahoma |
Authorized Official Name and Position | Timothy Starkey (CEO) |
Authorized Official Contact | 5802151766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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205 W Maple Ave Ste 1000 Enid OK 73701-4047 Ph: (580) 233-2900 | 2615 E Randolph Ave Enid OK 73701-4670 Ph: (580) 596-2800 |
NPI Number | 1962245811 |
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Provider Enumeration Date | 06/18/2024 |
Last Update Date | 06/18/2024 |
Medicare PECOS PAC ID | 9133201171 |
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Medicare Enrollment ID | O20240701002382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962245811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Daniel D. Washburn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E Maple Ave, Enid, OK 73701 Phone: 580-242-1881 Fax: 580-234-2090 | |
Care Pathways, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S 5th St Ste 206, Enid, OK 73701 Phone: 405-928-2727 Fax: 405-928-2720 | |
Reliant Health & Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 W Randolph Ave, Enid, OK 73701 Phone: 580-599-0272 Fax: 580-603-8602 | |