| Huddleston Health Llc | |
|
508 N Broadway St Poteau OK 74953-3536 | |
| (870) 784-0142 | |
| (918) 564-2406 |
| Full Name | Huddleston Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 N Broadway St, Poteau, Oklahoma |
| Authorized Official Name and Position | Krystel Huddleston (NURSE PRACTITIONER) |
| Authorized Official Contact | 8707840142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huddleston Health Llc 210 Oak St # 255 Poteau OK 74953-2339 Ph: (870) 784-0142 | Huddleston Health Llc 508 N Broadway St Poteau OK 74953-3536 Ph: (870) 784-0142 |
| NPI Number | 1275239675 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 08/20/2024 |
| Medicare PECOS PAC ID | 6709259955 |
|---|---|
| Medicare Enrollment ID | O20230308003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275239675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Krystel Lynne Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361490 PECOS PAC ID: 0749527075 Enrollment ID: I20190124002707 |
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