Holdenville General Hospital Rural Health Clinic | |
100 Mcdougal Dr Holdenville OK 74848-2822 | |
(405) 379-4200 | |
(405) 379-4264 |
Full Name | Holdenville General Hospital Rural Health Clinic |
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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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Holdenville General Hospital Rural Health Clinic 100 Mcdougal Dr Holdenville OK 74848-2822 Ph: (405) 379-4200 | Holdenville General Hospital Rural Health Clinic 100 Mcdougal Dr Holdenville OK 74848-2822 Ph: (405) 379-4200 |
NPI Number | 1780003970 |
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Provider Enumeration Date | 04/15/2014 |
Last Update Date | 12/10/2019 |
Medicare PECOS PAC ID | 6002031424 |
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Medicare Enrollment ID | O20140627000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780003970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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