| Integrity Healthcare Llc | |
|
1001 N Broadway St Poteau OK 74953-2609 | |
| (918) 649-0731 | |
| Not Available |
| Full Name | Integrity Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 N Broadway St, Poteau, Oklahoma |
| Authorized Official Name and Position | Kimberly K Sullivan (MANAGER/NURSE PRACTITIONER) |
| Authorized Official Contact | 4178487976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Healthcare Llc 1918 N Broadway St Poteau OK 74953-2638 Ph: (417) 848-7976 | Integrity Healthcare Llc 1001 N Broadway St Poteau OK 74953-2609 Ph: (918) 649-0731 |
| NPI Number | 1699417956 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 5193102887 |
|---|---|
| Medicare Enrollment ID | O20220518002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699417956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kimberly Kay Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639837099 PECOS PAC ID: 8820489982 Enrollment ID: I20211228000041 |
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