| I Care Immediate Care | |
|
206 N Mustang Mall Ter Mustang OK 73064-5135 | |
| (405) 286-6000 | |
| (405) 286-6001 |
| Full Name | I Care Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 206 N Mustang Mall Ter, Mustang, Oklahoma |
| Authorized Official Name and Position | Gerald Amundsen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4052866000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Care Immediate Care 206 N Mustang Mall Ter Mustang OK 73064-5135 Ph: (405) 286-6000 | I Care Immediate Care 206 N Mustang Mall Ter Mustang OK 73064-5135 Ph: (405) 286-6000 |
| NPI Number | 1790944775 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790944775 | NPI | - | NPPES |
| N/A | Medicaid | OK | |
| PENDING | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
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