Neohealth | |
1779 Buffington Rd Westville OK 74965-7353 | |
(918) 723-3997 | |
(918) 723-3889 |
Full Name | Neohealth |
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Speciality | Clinic/Center |
Location | 1779 Buffington Rd, Westville, 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 |
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Neohealth Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Neohealth 1779 Buffington Rd Westville OK 74965-7353 Ph: (918) 723-3997 |
NPI Number | 1821390402 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 3678482635 |
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Medicare Enrollment ID | O20110503000828 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821390402 | NPI | - | NPPES |
200006960I | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 S Williams, Westville, OK 74965 Phone: 918-723-5456 Fax: 918-723-4080 |