| Route 66 Health Clinic | |
|
138 S. Main Street Afton OK 74331-0000 | |
| (918) 257-8029 | |
| (918) 257-8042 |
| Full Name | Route 66 Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 138 S. Main Street, Afton, Oklahoma |
| Authorized Official Name and Position | Patrick Peer (CEO) |
| Authorized Official Contact | 9182578029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Route 66 Health Clinic Po Box 705 Afton OK 74331-0705 Ph: (918) 257-8029 | Route 66 Health Clinic 138 S. Main Street Afton OK 74331-0000 Ph: (918) 257-8029 |
| NPI Number | 1821410648 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 9133352081 |
|---|---|
| Medicare Enrollment ID | O20140430002053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821410648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Grand Lake Medical Park - Monkey Island Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26300 S Highway 125, Afton, OK 74331 Phone: 918-257-8585 Fax: 918-257-8560 |