Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 10 E 13th St, Grove, Oklahoma |
Authorized Official Name and Position | Chris Hammes (SENIOR VICE PRESIDENT & COO) |
Authorized Official Contact | 4059493402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5400 N Independence Ave Ste 200 Oklahoma City OK 73112-5300 Ph: (405) 713-5515 | 10 E 13th St Grove OK 74344-5300 Ph: (918) 786-1909 |
NPI Number | 1689274391 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 04/12/2021 |
Medicare PECOS PAC ID | 0042105835 |
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Medicare Enrollment ID | O20210421002864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689274391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Renee J. Zarintash, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 104, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108 | |
Northeast Oklahoma Family Practice & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St, Suite H, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256 | |
Family Care Spec, Inc., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St Ste C, Grove, OK 74344 Phone: 918-786-6151 Fax: 918-786-3483 |