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106 N Broadway St Holdenville OK 74848-3248 | |
(405) 592-4590 | |
(405) 592-4362 |
Full Name | |
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Speciality | Clinic/Center |
Location | 106 N Broadway St, Holdenville, Oklahoma |
Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
Authorized Official Contact | 2192284355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | 106 N Broadway St Holdenville OK 74848-3248 Ph: (405) 592-4590 |
NPI Number | 1255902292 |
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Provider Enumeration Date | 07/09/2021 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 1153742739 |
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Medicare Enrollment ID | O20210809001943 |
Identifier | Type | State | Issuer |
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1255902292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Abc Medical Clinic Of Holdenville, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Hinckley St, Holdenville, OK 74848 Phone: 405-592-3500 | |
Holdenvile Clinic And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Hinckley St, Holdenville, OK 74848 Phone: 580-927-2334 Fax: 580-927-9941 | |