Hometown Family Healthcare | |
301 W 6th St Chelsea OK 74016-1637 | |
(918) 789-8300 | |
(918) 789-8300 |
Full Name | Hometown Family Healthcare |
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Speciality | Clinic/Center |
Location | 301 W 6th St, Chelsea, Oklahoma |
Authorized Official Name and Position | Cynthia Dawn Mcnitt (OWNER/PRACTITIONER) |
Authorized Official Contact | 9187898300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Family Healthcare 301 W 6th St Chelsea OK 74016-1637 Ph: (918) 789-8300 | Hometown Family Healthcare 301 W 6th St Chelsea OK 74016-1637 Ph: (918) 789-8300 |
NPI Number | 1982213666 |
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Provider Enumeration Date | 07/28/2020 |
Last Update Date | 10/13/2020 |
Medicare PECOS PAC ID | 7012335649 |
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Medicare Enrollment ID | O20200915000814 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982213666 | NPI | - | NPPES |
200813930A | Medicaid | OK | |
1487122347 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Cynthia Dawn Mcnitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487122347 PECOS PAC ID: 0244570273 Enrollment ID: I20190328002480 |
Provider Name | Rachel Marie Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952031577 PECOS PAC ID: 2062883754 Enrollment ID: I20230117000154 |
Chelsea Family Medical Clinid Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Redbud Ln, Chelsea, OK 74016 Phone: 918-789-3146 Fax: 918-789-5650 |