| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N 4th St, Marlow, Oklahoma |
| Authorized Official Name and Position | Doug Volinski (VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 5802518554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 100 Duncan OK 73534-0100 Ph: (580) 251-8927 | 501 N 4th St Marlow OK 73055-1807 Ph: (580) 658-6679 |
| NPI Number | 1457863441 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Medicare PECOS PAC ID | 5193613057 |
|---|---|
| Medicare Enrollment ID | O20180116000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Marlow Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 4th St, Marlow, OK 73055 Phone: 580-658-3203 Fax: 580-658-6960 | |
Miguel Sabedra Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 4th St, Marlow, OK 73055 Phone: 580-658-3203 Fax: 580-658-8026 | |