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138 S. Main Street Afton OK 74331-0000 | |
(918) 257-8029 | |
(918) 257-8042 |
Full Name | |
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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 |
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Po Box 705 Afton OK 74331-0705 Ph: (918) 257-8029 | 138 S. Main Street Afton OK 74331-0000 Ph: (918) 257-8029 |
NPI Number | 1821410648 |
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Provider Enumeration Date | 01/14/2014 |
Last Update Date | 02/19/2020 |
Medicare PECOS PAC ID | 9133352081 |
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Medicare Enrollment ID | O20140430002053 |
Identifier | Type | State | Issuer |
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1821410648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
In Home 2 Heal Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56296 E 285 Rd Ste A, Afton, OK 74331 Phone: 918-219-9189 |