| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 19th St, Woodward, Oklahoma |
| Authorized Official Name and Position | Donna Wallace (ASSISTANT TREASURER) |
| Authorized Official Contact | 6363594890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3001 Quail Springs Pkwy Fl 3 Oklahoma City OK 73134-2640 Ph: (405) 252-8400 | 908 19th St Woodward OK 73801-2307 Ph: (580) 254-3396 |
| NPI Number | 1457123960 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 0840641825 |
|---|---|
| Medicare Enrollment ID | O20240111002541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457123960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
James R Garner Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St, Woodward, OK 73801 Phone: 580-256-2820 Fax: 580-256-2454 | |
Ofelia Marin, Aprn, Fnp-bc, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1418 Main St, Woodward, OK 73801 Phone: 580-216-0246 Fax: 405-913-1048 | |
John D. Sutton, Md. Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Kansas Ave, Woodward, OK 73801 Phone: 580-216-6601 | |
Team Clinics Ah, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 13th St, Woodward, OK 73801 Phone: 405-546-4130 | |
Agape Health Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Kansas Ave, Woodward, OK 73801 Phone: 580-254-3396 Fax: 580-254-5311 |