| Prime Health Associates, Pllc | |
|
2511 Alexa Ave Edmond OK 73034-3458 | |
| (405) 822-0130 | |
| Not Available |
| Full Name | Prime Health Associates, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2511 Alexa Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Kevin White (MD/OWNER) |
| Authorized Official Contact | 4058220130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Associates, Pllc 2511 Alexa Ave Edmond OK 73034-3458 Ph: (405) 822-0130 | Prime Health Associates, Pllc 2511 Alexa Ave Edmond OK 73034-3458 Ph: (405) 822-0130 |
| NPI Number | 1093312548 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 3870904915 |
|---|---|
| Medicare Enrollment ID | O20201123000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093312548 | NPI | - | NPPES |
| 1689696858 | Medicaid | OK |
| Provider Name | Kevin L White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689696858 PECOS PAC ID: 0547159055 Enrollment ID: I20040713000009 |
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