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1401 W 1st St Wewoka OK 74884-5097 | |
(405) 257-3396 | |
(405) 257-6908 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1401 W 1st St, Wewoka, 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 | 1401 W 1st St Wewoka OK 74884-5097 Ph: (405) 257-3396 |
NPI Number | 1285038596 |
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Provider Enumeration Date | 10/15/2014 |
Last Update Date | 12/10/2019 |
Medicare PECOS PAC ID | 6002031424 |
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Medicare Enrollment ID | O20150508001581 |
Identifier | Type | State | Issuer |
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1285038596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Usphs/ihs/wewoka Indian Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36640 Hwy 270, Wewoka, OK 74884 Phone: 405-257-7361 Fax: 405-257-3344 | |
Indian Health Service-wewoka Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Jct Hwys 56 & 270, Wewoka, OK 74884 Phone: 405-257-7361 | |
Wewoka Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Indian Rd, Wewoka, OK 74884 Phone: 405-257-9055 Fax: 405-257-9951 | |