Full Name | |
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Speciality | Clinic/Center |
Location | 502 S 6th, Ringling, Oklahoma |
Authorized Official Name and Position | Douglas Richard Volinski (CFO) |
Authorized Official Contact | 5802518554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 96 Ringling OK 73456-0096 Ph: (580) 662-2316 | 502 S 6th Ringling OK 73456-0096 Ph: (580) 662-2316 |
NPI Number | 1700323870 |
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Provider Enumeration Date | 01/26/2017 |
Last Update Date | 07/22/2022 |
Medicare PECOS PAC ID | 5193613057 |
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Medicare Enrollment ID | O20170328001052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700323870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |