| Cavanal Medical Clinic | |
|
1013 Dewey Ave Poteau OK 74953-4409 | |
| (918) 647-2929 | |
| (918) 647-2288 |
| Full Name | Cavanal Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1013 Dewey Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Robert L Carter (CEO) |
| Authorized Official Contact | 9186353441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavanal Medical Clinic 1013 Dewey Ave Poteau OK 74953-4409 Ph: (918) 647-2929 | Cavanal Medical Clinic 1013 Dewey Ave Poteau OK 74953-4409 Ph: (918) 647-2929 |
| NPI Number | 1578026571 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 7719916956 |
|---|---|
| Medicare Enrollment ID | O20200113000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578026571 | NPI | - | NPPES |
| 513012 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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