Oklahoma Family Neighbor Provider Corporation | |
114 South Pecan St. Boley OK 74829 | |
(918) 667-3352 | |
(918) 667-3358 |
Full Name | Oklahoma Family Neighbor Provider Corporation |
---|---|
Speciality | Clinic/center |
Location | 114 South Pecan St., Boley, Oklahoma |
Authorized Official Name and Position | Colleen L. Smith (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9186673352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oklahoma Family Neighbor Provider Corporation 114 South Pecan St. Boley OK 74829 Ph: (918) 667-3352 | Oklahoma Family Neighbor Provider Corporation 114 South Pecan St. Boley OK 74829 Ph: (918) 667-3352 |
NPI Number | 1295825321 |
---|---|
Provider Enumeration Date | 10/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295825321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Oklahoma) | Primary |
Smith & Smith Comprehensive Health Care Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 South Pecan Street, Boley, OK 74829 Phone: 918-667-3352 Fax: 918-667-3358 |