| Rush Springs Family Medical Clinic | |
|
113 South Rush Ave Rush Springs OK 73082-0277 | |
| (580) 476-2527 | |
| (580) 476-3707 |
| Full Name | Rush Springs Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 South Rush Ave, Rush Springs, Oklahoma |
| Authorized Official Name and Position | Warren Kean Spellman (CEO) |
| Authorized Official Contact | 4057792150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Springs Family Medical Clinic 2220 W Iowa Ave Chickasha OK 73018-2738 Ph: (405) 224-2300 | Rush Springs Family Medical Clinic 113 South Rush Ave Rush Springs OK 73082-0277 Ph: (580) 476-2527 |
| NPI Number | 1578592788 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 0648175778 |
|---|---|
| Medicare Enrollment ID | O20090921000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578592788 | NPI | - | NPPES |
| 100700820G | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |