| One Cura Family Clinic-stroud, Inc. | |
|
2308b W Highway 66 Stroud OK 74079-6729 | |
| (714) 745-6191 | |
| (918) 968-4814 |
| Full Name | One Cura Family Clinic-stroud, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2308b W Highway 66, Stroud, Oklahoma |
| Authorized Official Name and Position | Charles Eldridge (PRESIDENT AND CEO) |
| Authorized Official Contact | 7147456191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Cura Family Clinic-stroud, Inc. 2308b W Highway 66 Stroud OK 74079-6729 Ph: (714) 745-6191 | One Cura Family Clinic-stroud, Inc. 2308b W Highway 66 Stroud OK 74079-6729 Ph: (714) 745-6191 |
| NPI Number | 1073969358 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 04/13/2020 |
| Medicare PECOS PAC ID | 9032499231 |
|---|---|
| Medicare Enrollment ID | O20161205002327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073969358 | NPI | - | NPPES |
| 54-3181 | Other | OK | MEDICARE |
| 200651120A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vishal Mundra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235469503 PECOS PAC ID: 0749453926 Enrollment ID: I20111103000448 |
| Provider Name | Erica Dawn Dearman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497989248 PECOS PAC ID: 7517123987 Enrollment ID: I20120730000729 |
| Provider Name | Jennifer L Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619366 PECOS PAC ID: 8224318589 Enrollment ID: I20161205000298 |
| Provider Name | Cameron K Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902361413 PECOS PAC ID: 0749513232 Enrollment ID: I20190617000787 |
| Provider Name | Kristie Michelle Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995476 PECOS PAC ID: 8921431610 Enrollment ID: I20191211001118 |
| Provider Name | Alvin Wong |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639738602 PECOS PAC ID: 2466811120 Enrollment ID: I20230629000533 |
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Tsg Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-4469 | |
St Anthony Physicians-stroud Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308 W Highway 66, Suite B, Stroud, OK 74079 Phone: 918-968-4469 Fax: 918-968-1618 | |
Rural Wellness Stroud Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-968-1622 | |
Rural Wellness Stroud Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2308 W Highway 66, Stroud, OK 74079 Phone: 918-968-3571 Fax: 918-968-4814 |