| Route 66 Health Clinic | |
|
343 S. Commercial Street Welch OK 74369 | |
| (918) 257-8029 | |
| (918) 257-8042 |
| Full Name | Route 66 Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 343 S. Commercial Street, Welch, Oklahoma |
| Authorized Official Name and Position | Patrick Michael Peer (CHIEF EXECUTIVE OFFICER) |
| 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 343 S. Commercial Street Welch OK 74369 Ph: (918) 257-8029 |
| NPI Number | 1164941670 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 9133352081 |
|---|---|
| Medicare Enrollment ID | O20171002002280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164941670 | NPI | - | NPPES |
| 200539480A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Saint Francis Hospital Vinita, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 343 South Commercial Street, Welch, OK 74369 Phone: 918-788-3919 Fax: 918-788-3914 |