| |
1800 E Coplin St Okemah OK 74859-4642 | |
(918) 623-1424 | |
(918) 623-2809 |
Full Name | |
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Speciality | Clinic/center - Ambulatory Surgical |
Location | 1800 E Coplin St, Okemah, Oklahoma |
Authorized Official Name and Position | Shawn Terry (SECRETARY OF HEALTH) |
Authorized Official Contact | 9187563334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dept 1467 Tulsa OK 74182-0001 Ph: (918) 756-3334 | 1800 E Coplin St Okemah OK 74859-4642 Ph: (918) 623-1424 |
NPI Number | 1992726822 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 01/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992726822 | NPI | - | NPPES |
730632862023 | Other | OK | BLUECROSS/BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | (* (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 | |