| Jt Health Clinic | |
|
105 E. Grand Tonkawa OK 74653-3503 | |
| (580) 789-1628 | |
| (888) 712-9476 |
| Full Name | Jt Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 105 E. Grand, Tonkawa, Oklahoma |
| Authorized Official Name and Position | Tammie D Reggio (PRIMARY PROVIDER) |
| Authorized Official Contact | 5807891628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jt Health Clinic 1605 Country Rd Blackwell OK 74631-6749 Ph: (580) 716-0245 | Jt Health Clinic 105 E. Grand Tonkawa OK 74653-3503 Ph: (580) 789-1628 |
| NPI Number | 1871259879 |
|---|---|
| Provider Enumeration Date | 11/13/2021 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 8123414570 |
|---|---|
| Medicare Enrollment ID | O20220412000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871259879 | NPI | - | NPPES |
| 187125879 | Other | OK | FACILITY NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | David M Lovelace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326087800 PECOS PAC ID: 4385699008 Enrollment ID: I20050316000033 |
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