Full Name | |
---|---|
Speciality | Clinic/center - Medical Specialty |
Location | 203 2nd Ave Sw, Miami, Oklahoma |
Authorized Official Name and Position | Joel A Hart (PRESIDENT) |
Authorized Official Contact | 9185426611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
203 2nd Ave Sw Miami OK 74354-6818 Ph: (918) 540-7300 | 203 2nd Ave Sw Miami OK 74354-6818 Ph: (918) 540-7300 |
NPI Number | 1831387364 |
---|---|
Provider Enumeration Date | 10/10/2007 |
Last Update Date | 06/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831387364 | NPI | - | NPPES |
37D1076269 | Other | OK | CLIA |
100710600E | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
Doney Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, Suite 201, Miami, OK 74354 Phone: 918-542-8477 Fax: 918-542-6422 | |
Durham Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-3500 Fax: 918-540-3506 | |
Vital Health Alliance Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 A St Nw, Miami, OK 74354 Phone: 918-961-1658 | |