| Roger Mills County Hospital Authority | |
|
101 Fk Buster Ave Cheyenne OK 73628-0490 | |
| (580) 497-3333 | |
| (580) 497-2778 |
| Full Name | Roger Mills County Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Fk Buster Ave, Cheyenne, Oklahoma |
| Authorized Official Name and Position | Cynthia E Duncan (CEO) |
| Authorized Official Contact | 5804973336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Mills County Hospital Authority Po Box 490 Cheyenne OK 73628-0490 Ph: (580) 497-3333 | Roger Mills County Hospital Authority 101 Fk Buster Ave Cheyenne OK 73628-0490 Ph: (580) 497-3333 |
| NPI Number | 1407950447 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 7113827403 |
|---|---|
| Medicare Enrollment ID | O20080910000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407950447 | NPI | - | NPPES |
| 100699820E | Medicaid | OK | |
| 100699820F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Roger Mills Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 S Ll Males, Cheyenne, OK 73628 Phone: 580-497-3336 Fax: 580-497-2778 |