| Neohealth Muskogee | |
|
922 N York St Muskogee OK 74403-3137 | |
| (918) 683-0470 | |
| (918) 683-0475 |
| Full Name | Neohealth Muskogee |
|---|---|
| Speciality | Clinic/Center |
| Location | 922 N York St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Scott Rosenthal (CEO) |
| Authorized Official Contact | 9187723390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neohealth Muskogee Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Neohealth Muskogee 922 N York St Muskogee OK 74403-3137 Ph: (918) 683-0470 |
| NPI Number | 1942553946 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3678482635 |
|---|---|
| Medicare Enrollment ID | O20130511000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942553946 | NPI | - | NPPES |
| 1518070481 | Other | OK | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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