Okeene Hospital Medical Clinic | |
124 N 6th St Okeene OK 73763 | |
(580) 822-4404 | |
(580) 822-4403 |
Full Name | Okeene Hospital Medical Clinic |
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Speciality | Clinic/Center |
Location | 124 N 6th St, Okeene, Oklahoma |
Authorized Official Name and Position | Shelly R Dunham (CEO) |
Authorized Official Contact | 5808224417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Okeene Hospital Medical Clinic 124 N 6th St Okeene OK 73763 Ph: (580) 822-4404 | Okeene Hospital Medical Clinic 124 N 6th St Okeene OK 73763 Ph: (580) 822-4404 |
NPI Number | 1053478024 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 02/11/2008 |
Medicare PECOS PAC ID | 3971583535 |
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Medicare Enrollment ID | O20050212000003 |
Identifier | Type | State | Issuer |
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1053478024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kirt E Bierig |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316979768 PECOS PAC ID: 4587654306 Enrollment ID: I20040514000032 |
Provider Name | Kent T King |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1508832205 PECOS PAC ID: 2769530708 Enrollment ID: I20090501000263 |
Provider Name | Cayci Lynn Brickman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932586468 PECOS PAC ID: 9830481605 Enrollment ID: I20180629000017 |
Provider Name | Douglas Lee Kruckner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932192226 PECOS PAC ID: 4082631130 Enrollment ID: I20220627002942 |
Okeene Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N 6th St, Okeene, OK 73763 Phone: 580-822-4404 Fax: 580-822-4403 |