Mary Mahoney Health Center At Langston | |
300 Martin L. King Langston OK 73050-1253 | |
(405) 466-2535 | |
(405) 466-2554 |
Full Name | Mary Mahoney Health Center At Langston |
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Speciality | Clinic/Center |
Location | 300 Martin L. King, Langston, Oklahoma |
Authorized Official Name and Position | Isabella Lawson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4057693301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mary Mahoney Health Center At Langston Po Box 30589 Midwest City OK 73140 Ph: (405) 769-3301 | Mary Mahoney Health Center At Langston 300 Martin L. King Langston OK 73050-1253 Ph: (405) 466-2535 |
NPI Number | 1437133790 |
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Provider Enumeration Date | 11/30/2005 |
Last Update Date | 04/28/2020 |
Medicare PECOS PAC ID | 4688584436 |
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Medicare Enrollment ID | O20030501000035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437133790 | NPI | - | NPPES |
100709120C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Langston University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Highway 33 East, C.f. Gayles Fieldhouse Room 161, Langston, OK 73050 Phone: 405-466-2961 |