Healwell Of Southern Oklahoma | |
333 W Main St Ste 245 Ardmore OK 73401-6300 | |
(405) 492-7229 | |
Not Available |
Full Name | Healwell Of Southern Oklahoma |
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Speciality | Clinic/Center |
Location | 333 W Main St Ste 245, Ardmore, Oklahoma |
Authorized Official Name and Position | Randi Jones (OWNER) |
Authorized Official Contact | 4054927229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healwell Of Southern Oklahoma 333 W Main St Ste 245 Ardmore OK 73401-6300 Ph: (405) 492-7229 | Healwell Of Southern Oklahoma 333 W Main St Ste 245 Ardmore OK 73401-6300 Ph: (405) 492-7229 |
NPI Number | 1396468310 |
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Provider Enumeration Date | 09/23/2022 |
Last Update Date | 09/23/2022 |
Medicare PECOS PAC ID | 1850767054 |
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Medicare Enrollment ID | O20221012003692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396468310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Randi J Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588299952 PECOS PAC ID: 1052740925 Enrollment ID: I20200330000889 |
Provider Name | Lauren D'ann Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821627167 PECOS PAC ID: 2668895178 Enrollment ID: I20200630003044 |
Provider Name | Jessi Runyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538705181 PECOS PAC ID: 1951729540 Enrollment ID: I20200914002569 |
Provider Name | Kristina Lynn True |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750169587 PECOS PAC ID: 7416307434 Enrollment ID: I20240103000448 |
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