| |
100 Mcdougal Dr Holdenville OK 74848-2822 | |
(405) 379-4200 | |
(405) 379-4340 |
Full Name | |
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Speciality | Clinic/Center |
Location | 100 Mcdougal Dr, Holdenville, Oklahoma |
Authorized Official Name and Position | Stephen Stewart (CEO) |
Authorized Official Contact | 4053794200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Mcdougal Dr Holdenville OK 74848-2822 Ph: (405) 379-4200 | 100 Mcdougal Dr Holdenville OK 74848-2822 Ph: (405) 379-4200 |
NPI Number | 1902265309 |
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Provider Enumeration Date | 02/15/2016 |
Last Update Date | 12/10/2019 |
Medicare PECOS PAC ID | 6002031424 |
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Medicare Enrollment ID | O20160725001107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902265309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |