Jcmh Familycare Medical Clinic Of Mangum | |
114 S Louis Tittle Ave Mangum OK 73554-4406 | |
(580) 782-3393 | |
(580) 782-3395 |
Full Name | Jcmh Familycare Medical Clinic Of Mangum |
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Speciality | Clinic/Center |
Location | 114 S Louis Tittle Ave, Mangum, Oklahoma |
Authorized Official Name and Position | Steve Hartgraves (PRESIDENT / CEO) |
Authorized Official Contact | 5803795500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jcmh Familycare Medical Clinic Of Mangum 1200 E Pecan St Altus OK 73521-6141 Ph: (580) 379-5000 | Jcmh Familycare Medical Clinic Of Mangum 114 S Louis Tittle Ave Mangum OK 73554-4406 Ph: (580) 782-3393 |
NPI Number | 1093199382 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 10/06/2022 |
Medicare PECOS PAC ID | 1759293178 |
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Medicare Enrollment ID | O20150922001829 |
Identifier | Type | State | Issuer |
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1093199382 | NPI | - | NPPES |
200688770A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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