| |
217 West Smith St Stratford OK 74872-0001 | |
(580) 759-2336 | |
(580) 332-0383 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 217 West Smith St, Stratford, Oklahoma |
Authorized Official Name and Position | Mary E Krause (CFO) |
Authorized Official Contact | 5804211412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 850 Stratford OK 74872-0850 Ph: (580) 759-2336 | 217 West Smith St Stratford OK 74872-0001 Ph: (580) 759-2336 |
NPI Number | 1801003934 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 09/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801003934 | NPI | - | NPPES |
100728840H | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Oklahoma) | Primary |
Medical Center Of Stratford Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Smith, Stratford, OK 74872 Phone: 580-759-2336 |