| Robert Clark Family Health Center | |
|
212 N Main St Fairfax OK 74637-3023 | |
| (918) 642-3100 | |
| (918) 642-5639 |
| Full Name | Robert Clark Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 N Main St, Fairfax, Oklahoma |
| Authorized Official Name and Position | Karen Mcconnell (CEO) |
| Authorized Official Contact | 9186423100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Clark Family Health Center 212 N Main St Fairfax OK 74637-3023 Ph: (918) 642-3100 | Robert Clark Family Health Center 212 N Main St Fairfax OK 74637-3023 Ph: (918) 642-3100 |
| NPI Number | 1538183173 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 4284663360 |
|---|---|
| Medicare Enrollment ID | O20050809000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538183173 | NPI | - | NPPES |
| 200071420B | Medicaid | OK | |
| 200071420D | Medicaid | OK | |
| 200071420E | Medicaid | OK | |
| 200071420G | Medicaid | OK | |
| 200071420F | Medicaid | OK |
| Provider Name | Sharon E Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275508749 PECOS PAC ID: 6507836681 Enrollment ID: I20040727001048 |
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