Wah-zha-zhe Health Center | |
715 Grandview Ave Pawhuska OK 74056-3201 | |
(918) 287-9300 | |
(918) 287-6138 |
Full Name | Wah-zha-zhe Health Center |
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Speciality | Clinic/Center |
Location | 715 Grandview Ave, Pawhuska, Oklahoma |
Authorized Official Name and Position | Laura L Brooks (CREDENTIALING AND QUALITY MANAGEMEN) |
Authorized Official Contact | 9182879339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wah-zha-zhe Health Center 715 Grandview Ave Pawhuska OK 74056-3201 Ph: (918) 287-9300 | Wah-zha-zhe Health Center 715 Grandview Ave Pawhuska OK 74056-3201 Ph: (918) 287-9300 |
NPI Number | 1093402349 |
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Provider Enumeration Date | 04/18/2023 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 2769847912 |
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Medicare Enrollment ID | O20230424001050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093402349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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