| Osu-aj Osu Medicine Cleveland | |
|
119 S Broadway St Cleveland OK 74020-4614 | |
| (918) 561-8306 | |
| (918) 561-5747 |
| Full Name | Osu-aj Osu Medicine Cleveland |
|---|---|
| Speciality | Clinic/center |
| Location | 119 S Broadway St, Cleveland, Oklahoma |
| Authorized Official Name and Position | Eric John Polak (VICE PRESIDENT OF ADMIN/FINANCE) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu-aj Osu Medicine Cleveland 1716 S Phoenix Ave Tulsa OK 74107-1850 Ph: (918) 561-8306 | Osu-aj Osu Medicine Cleveland 119 S Broadway St Cleveland OK 74020-4614 Ph: (918) 561-8306 |
| NPI Number | 1164131967 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 11/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164131967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Perry W Evans Jr Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S Broadway St, Cleveland, OK 74020 Phone: 918-358-2592 Fax: 918-358-3133 | |
Lake Area Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-3588 | |
Trt Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Delaware St, Cleveland, OK 74020 Phone: 918-358-0028 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pawnee St, Cleveland, OK 74020 Phone: 918-561-8306 Fax: 918-280-1917 | |
Lake Area Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-3588 Fax: 918-358-9274 | |
Robert Boyles, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1390 W Cherokee St, Cleveland, OK 74020 Phone: 918-358-3501 Fax: 918-358-5402 |