| Panhandle Health Center | |
|
3247 Us Highway 54 Guymon OK 73942-0000 | |
| (580) 338-3553 | |
| Not Available |
| Full Name | Panhandle Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3247 Us Highway 54, Guymon, Oklahoma |
| Authorized Official Name and Position | Sarah Wagner (CEO) |
| Authorized Official Contact | 5803387270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Health Center 5170 Patricia Blvd Guymon OK 73942-0000 Ph: (580) 338-3553 | Panhandle Health Center 3247 Us Highway 54 Guymon OK 73942-0000 Ph: (580) 338-3553 |
| NPI Number | 1427464437 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8123324613 |
|---|---|
| Medicare Enrollment ID | O20181218000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427464437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ginger D Dahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659824506 PECOS PAC ID: 5698111409 Enrollment ID: I20240314001443 |
| Provider Name | Tonjua D Sherrill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457401028 PECOS PAC ID: 0042659898 Enrollment ID: I20240412003632 |
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