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400 N Rodeo Dr Comanche OK 73529-1426 | |
(580) 439-5848 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 400 N Rodeo Dr, Comanche, Oklahoma |
Authorized Official Name and Position | Leah Newton (OWNER) |
Authorized Official Contact | 5804395848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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275825 E 1840 Rd Comanche OK 73529-4046 Ph: (405) 590-9462 | 400 N Rodeo Dr Comanche OK 73529-1426 Ph: (580) 439-5848 |
NPI Number | 1770305211 |
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Provider Enumeration Date | 10/28/2024 |
Last Update Date | 01/17/2025 |
Medicare PECOS PAC ID | 0547796005 |
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Medicare Enrollment ID | O20241206001542 |
Identifier | Type | State | Issuer |
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1770305211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Leah Lin Newton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962118398 PECOS PAC ID: 8628439262 Enrollment ID: I20230731001256 |
Duncan Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Highway 81, Comanche, OK 73529 Phone: 580-439-6889 Fax: 580-439-8012 | |