| Jim Knecht D.o., Inc. | |
|
505 N 14th St Perry OK 73077-5021 | |
| (580) 336-2209 | |
| (580) 336-4584 |
| Full Name | Jim Knecht D.o., Inc. |
|---|---|
| Speciality | General Practice |
| Location | 505 N 14th St, Perry, Oklahoma |
| Authorized Official Name and Position | Jim Knecht (OWNER) |
| Authorized Official Contact | 5803362209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Knecht D.o., Inc. 505 N 14th St Perry OK 73077-5021 Ph: (580) 336-2209 | Jim Knecht D.o., Inc. 505 N 14th St Perry OK 73077-5021 Ph: (580) 336-2209 |
| NPI Number | 1871764373 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871764373 | NPI | - | NPPES |
| 100100500A | Medicaid | OK | |
| 37D0719246 | Other | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2238 (Oklahoma) | Primary |
Perry Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 14th St, Perry, OK 73077 Phone: 580-336-3529 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 N 14th St, Perry, OK 73077 Phone: 580-336-3529 | |
Perry Wellnes Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Attn: J. Ek, Perry, OK 73077 Phone: 580-336-3735 Fax: 580-336-3738 | |
Community Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1318 Elm St, Perry, OK 73077 Phone: 580-336-9411 Fax: 580-336-9422 | |
Community Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Perry, OK 73077 Phone: 580-336-2176 Fax: 580-336-3178 | |
Community Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1318 Elm St, Perry, OK 73077 Phone: 580-336-9411 Fax: 580-336-9422 |