| Hennessey Medical Clinic | |
|
300 N Cherokee St Hennessey OK 73742-1106 | |
| (405) 853-7171 | |
| (405) 853-6662 |
| Full Name | Hennessey Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 300 N Cherokee St, Hennessey, Oklahoma |
| Authorized Official Name and Position | Bruce C Lawrence (PRESIDENT & CEO) |
| Authorized Official Contact | 5805481367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennessey Medical Clinic Po Box 960183 Oklahoma City OK 73196-0183 Ph: (580) 548-1367 | Hennessey Medical Clinic 300 N Cherokee St Hennessey OK 73742-1106 Ph: (405) 853-7171 |
| NPI Number | 1760483846 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760483846 | NPI | - | NPPES |
| 200034700A | Medicaid | OK | |
| 200069200Y | Other | OK | OK MEDICAID OSUSC |
| 200069200M | Other | OK | OK MEDICAID OSUFFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Healthy Families Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Hennessey, OK 73742 Phone: 405-853-2995 Fax: 405-853-2996 | |
Krablin Medical Clinic Of Hennessey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 N. Main, Hennessey, OK 73742 Phone: 405-853-6633 | |
Integris Hennessey Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Cherokee St, Hennessey, OK 73742 Phone: 405-853-7171 |