| |
100 Mcdougal Drive Holdenville OK 74848-2822 | |
(405) 379-4200 | |
(405) 379-4264 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 100 Mcdougal Drive, Holdenville, Oklahoma |
Authorized Official Name and Position | Roberta R Jeffrey (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4053794200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Mcdougal Drive Holdenville OK 74848-2822 Ph: (405) 379-4200 | 100 Mcdougal Drive Holdenville OK 74848-2822 Ph: (405) 379-4200 |
NPI Number | 1982774105 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 04/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982774105 | NPI | - | NPPES |
100699880C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 2195 (Oklahoma) | Primary |
Abc Medical Clinic Of Holdenville, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Hinckley St, Holdenville, OK 74848 Phone: 405-592-3500 | |
Holdenvile Clinic And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Hinckley St, Holdenville, OK 74848 Phone: 580-927-2334 Fax: 580-927-9941 | |