| Integris Kingston Medical Clinic | |
|
700 E. Highway 70 Kingston OK 73439 | |
| (580) 564-4944 | |
| (580) 564-4344 |
| Full Name | Integris Kingston Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 700 E. Highway 70, Kingston, Oklahoma |
| Authorized Official Name and Position | Steven E Clifton (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Kingston Medical Clinic Po Box 762 Kingston OK 73439-0762 Ph: (580) 564-4944 | Integris Kingston Medical Clinic 700 E. Highway 70 Kingston OK 73439 Ph: (580) 564-4944 |
| NPI Number | 1659372712 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659372712 | NPI | - | NPPES |
| 100091450A | Medicaid | OK | |
| 100700440E | Other | OK | MEDICAID SC |
| 100148210A | Medicaid | OK | |
| 100700440B | Other | OK | MEDICAID RHC |
| 100709210A | Medicaid | OK | |
| 731426051-002 | Other | OK | BCBS OF OKLAHOMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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