Idabel Children's Clinic, Inc. | |
1307 Lynn Ln Idabel OK 74745-6845 | |
(580) 286-5437 | |
(580) 286-3955 |
Full Name | Idabel Children's Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 1307 Lynn Ln, Idabel, Oklahoma |
Authorized Official Name and Position | Robert Dellino Leboeuf (OFFICE MANAGER) |
Authorized Official Contact | 5802122697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Idabel Children's Clinic, Inc. 1307 Lynn Ln Idabel OK 74745-6845 Ph: (580) 286-5437 | Idabel Children's Clinic, Inc. 1307 Lynn Ln Idabel OK 74745-6845 Ph: (580) 286-5437 |
NPI Number | 1689985343 |
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Provider Enumeration Date | 06/28/2010 |
Last Update Date | 07/28/2010 |
Medicare PECOS PAC ID | 5890980155 |
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Medicare Enrollment ID | O20101111001156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689985343 | NPI | - | NPPES |
100187600B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 22507 (Oklahoma) | Primary |
Provider Name | Mary L Bradley-leboeuf |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1497724041 PECOS PAC ID: 0749475002 Enrollment ID: I20101111001239 |
Idabel Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4900 Fax: 580-286-3955 | |
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 | |
George Edward Freeman, D.o.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 E Lincoln Rd, Suite B-1, Idabel, OK 74745 Phone: 580-286-4949 Fax: 580-286-4946 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Ne Lincoln Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Ardeshir F. Nia, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4300 Fax: 580-286-5530 | |
Choctaw Nation Health Clinic-idabel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 918-567-7000 Fax: 918-567-7041 |