| Ltc Solutions, Pllc | |
|
604 North Main Gore OK 74435-0479 | |
| (918) 520-0859 | |
| (918) 489-5260 |
| Full Name | Ltc Solutions, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 604 North Main, Gore, Oklahoma |
| Authorized Official Name and Position | William R Anderson (OWNER) |
| Authorized Official Contact | 9185200859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Solutions, Pllc Po Box 479 Gore OK 74435-0479 Ph: (918) 520-0859 | Ltc Solutions, Pllc 604 North Main Gore OK 74435-0479 Ph: (918) 520-0859 |
| NPI Number | 1669898607 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 3870719412 |
|---|---|
| Medicare Enrollment ID | O20140717000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669898607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2597 (Oklahoma) | Primary |
| Provider Name | William R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235130709 PECOS PAC ID: 0648166520 Enrollment ID: I20040226000668 |
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Superior Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Eastern Oklahoma Medical Consultants, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 North Main, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Eastern Oklahoma Medical Consultants, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 |