| Muskogee Health Center West | |
|
201 North 32nd Street Muskogee OK 74401-2104 | |
| (918) 912-2333 | |
| Not Available |
| Full Name | Muskogee Health Center West |
|---|---|
| Speciality | Family Medicine |
| Location | 201 North 32nd Street, Muskogee, Oklahoma |
| Authorized Official Name and Position | Marcus Deon Johnson (QI) |
| Authorized Official Contact | 9184830111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskogee Health Center West Po Box 334 Porter OK 74454-0334 Ph: (918) 483-0111 | Muskogee Health Center West 201 North 32nd Street Muskogee OK 74401-2104 Ph: (918) 912-2333 |
| NPI Number | 1568976991 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 12/20/2017 |
| Medicare PECOS PAC ID | 2961594916 |
|---|---|
| Medicare Enrollment ID | O20180126000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568976991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Secondary |
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