| Midcare Telehealth | |
|
1000 W Wilshire Blvd Ste 403c Oklahoma City OK 73116-7055 | |
| (405) 505-2505 | |
| (833) 929-3523 |
| Full Name | Midcare Telehealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W Wilshire Blvd Ste 403c, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Rita Engowi Mba-etuge (OWNER/PROVIDER) |
| Authorized Official Contact | 4059226967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcare Telehealth 1000 W Wilshire Blvd Ste 403c Oklahoma City OK 73116-7055 Ph: (405) 505-2505 | Midcare Telehealth 1000 W Wilshire Blvd Ste 403c Oklahoma City OK 73116-7055 Ph: (405) 505-2505 |
| NPI Number | 1316671555 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 1557745767 |
|---|---|
| Medicare Enrollment ID | O20220907000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316671555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rita E Mba-etuge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336617943 PECOS PAC ID: 0042553968 Enrollment ID: I20190516001893 |
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