| Home Run Healthcare | |
|
1425 East Lincoln Road Suite A-3 Idabel OK 74745 | |
| (580) 212-7237 | |
| Not Available |
| Full Name | Home Run Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 East Lincoln Road, Idabel, Oklahoma |
| Authorized Official Name and Position | Ashlei Jobe (PRESIDENT) |
| Authorized Official Contact | 5802127237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Run Healthcare Po Box 51 Garvin OK 74736-0051 Ph: (580) 212-7237 | Home Run Healthcare 1425 East Lincoln Road Suite A-3 Idabel OK 74745 Ph: (580) 212-7237 |
| NPI Number | 1568957348 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Medicare PECOS PAC ID | 3173874997 |
|---|---|
| Medicare Enrollment ID | O20180918002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568957348 | NPI | - | NPPES |
| 1679013676 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashlei Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679013676 PECOS PAC ID: 9638449861 Enrollment ID: I20170721000248 |
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Thomas W. Salyer, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-3993 | |
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