| |
1800 E Coplin St Okemah OK 74859-4642 | |
(918) 623-1424 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1800 E Coplin St, Okemah, Oklahoma |
Authorized Official Name and Position | Shawn Terry (SECRETARY OF HEALTH) |
Authorized Official Contact | 9187564333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dept 1467 Tulsa OK 74182-0001 Ph: (918) 756-4333 | 1800 E Coplin St Okemah OK 74859-4642 Ph: (918) 623-1424 |
NPI Number | 1356532121 |
---|---|
Provider Enumeration Date | 08/07/2007 |
Last Update Date | 10/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356532121 | NPI | - | NPPES |
100755800A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Creek Nation Hospital & Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 E Coplin St, Okemah, OK 74859 Phone: 918-623-1424 | |