Nr Yukon Llc | |
12801 Nw 10th St Yukon OK 73099-4175 | |
(405) 914-6677 | |
(405) 669-3517 |
Full Name | Nr Yukon Llc |
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Speciality | Physical Medicine & Rehabilitation |
Location | 12801 Nw 10th St, Yukon, Oklahoma |
Authorized Official Name and Position | Timothy C Bales (CEO/OWNER) |
Authorized Official Contact | 4057246902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nr Yukon Llc 3705 Nw 63rd St Ste 101 Oklahoma City OK 73116-1937 Ph: (405) 724-6902 | Nr Yukon Llc 12801 Nw 10th St Yukon OK 73099-4175 Ph: (405) 914-6677 |
NPI Number | 1336971860 |
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Provider Enumeration Date | 08/14/2024 |
Last Update Date | 08/14/2024 |
Medicare PECOS PAC ID | 4385176544 |
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Medicare Enrollment ID | O20241014002632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336971860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Stephanie Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558786541 PECOS PAC ID: 4688899818 Enrollment ID: I20140702001011 |
Provider Name | Jennifer Hinkle |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003057670 PECOS PAC ID: 6002967429 Enrollment ID: I20140929000153 |
Provider Name | Ivy R Cherian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578296042 PECOS PAC ID: 5092158212 Enrollment ID: I20240205002890 |
Aquilo Medical Home Team Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-990-6654 | |
Michael D. Furgeson, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Vandament Ave, Suite 100, Yukon, OK 73099 Phone: 405-350-8100 Fax: 405-350-6418 | |
Catrina Bourne, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir, Suite A, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |