Noble Family Healthcare Clinic | |
205 S. Main Noble OK 73068-2096 | |
(405) 872-5403 | |
(405) 872-5407 |
Full Name | Noble Family Healthcare Clinic |
---|---|
Speciality | Clinic/Center |
Location | 205 S. Main, Noble, Oklahoma |
Authorized Official Name and Position | Brian T Pendarvis (CEO) |
Authorized Official Contact | 4058725403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Noble Family Healthcare Clinic Po Box 2096 205 S. Main Noble OK 73068-2096 Ph: (405) 872-5403 | Noble Family Healthcare Clinic 205 S. Main Noble OK 73068-2096 Ph: (405) 872-5403 |
NPI Number | 1447327622 |
---|---|
Provider Enumeration Date | 11/30/2006 |
Last Update Date | 11/07/2014 |
Medicare PECOS PAC ID | 3476569435 |
---|---|
Medicare Enrollment ID | O20060228000513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447327622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Sergio G Demier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558422337 PECOS PAC ID: 4587620802 Enrollment ID: I20041208000087 |
Provider Name | Brian T Pendarvis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417952904 PECOS PAC ID: 9032162854 Enrollment ID: I20050222000150 |
Provider Name | Kevin J Faris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003888207 PECOS PAC ID: 4880629468 Enrollment ID: I20051003000423 |
Noble Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 N Main St, Noble, OK 73068 Phone: 405-677-3378 | |
Noble Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Maguire Rd, Ste 4000, Noble, OK 73068 Phone: 405-872-9494 Fax: 405-872-9464 |