Full Name | |
---|---|
Speciality | Clinic/center |
Location | 63153 East 290 Road, Grove, Oklahoma |
Authorized Official Name and Position | Lesa Landon (GENERAL PARTNER) |
Authorized Official Contact | 9188015991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 450164 Grove OK 74345-0164 Ph: (918) 944-3442 | 63153 East 290 Road Grove OK 74344 Ph: (918) 801-5991 |
NPI Number | 1134456551 |
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Provider Enumeration Date | 11/05/2009 |
Last Update Date | 03/31/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134456551 | NPI | - | NPPES |
OKB5889 | Other | OK | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Renee J. Zarintash, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 104, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108 | |
Northeast Oklahoma Family Practice & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St, Suite H, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256 | |
Family Care Spec, Inc., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St Ste C, Grove, OK 74344 Phone: 918-786-6151 Fax: 918-786-3483 |