Hooker Medical Clinic, Llc | |
101 W. Glaydas Ave. Hooker OK 73945-1092 | |
(580) 652-1100 | |
(580) 652-1102 |
Full Name | Hooker Medical Clinic, Llc |
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Speciality | Clinic/Center |
Location | 101 W. Glaydas Ave., Hooker, Oklahoma |
Authorized Official Name and Position | Kerri Parker (OWNER) |
Authorized Official Contact | 5806521100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hooker Medical Clinic, Llc Po Box 1092 Hooker OK 73945-1092 Ph: (580) 652-1100 | Hooker Medical Clinic, Llc 101 W. Glaydas Ave. Hooker OK 73945-1092 Ph: (580) 652-1100 |
NPI Number | 1720496904 |
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Provider Enumeration Date | 07/31/2014 |
Last Update Date | 07/31/2014 |
Medicare PECOS PAC ID | 5698097434 |
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Medicare Enrollment ID | O20141204001706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720496904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 74479 (Oklahoma) | Primary |
Provider Name | Kerri Melissa Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306253455 PECOS PAC ID: 6507188349 Enrollment ID: I20141204001790 |
Panhandle Counseling And Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Medical Dr, Hooker, OK 73945 Phone: 580-338-0072 |