| Pryor Family Medical Center | |
|
5319 S Mill St Pryor OK 74361-6839 | |
| (918) 772-3390 | |
| (918) 772-2244 |
| Full Name | Pryor Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5319 S Mill St, Pryor, 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 |
|---|---|
| Pryor Family Medical Center Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Pryor Family Medical Center 5319 S Mill St Pryor OK 74361-6839 Ph: (918) 772-3390 |
| NPI Number | 1669101184 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 3678482635 |
|---|---|
| Medicare Enrollment ID | O20220729000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669101184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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