| Ryan Health Clinic | |
|
1104 6th Street Ryan OK 73565-0157 | |
| (580) 757-2451 | |
| Not Available |
| Full Name | Ryan Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1104 6th Street, Ryan, Oklahoma |
| Authorized Official Name and Position | Phyllis Jane Mcdowell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5802282344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Health Clinic Po Box 157 Ryan OK 73565-0157 Ph: (580) 757-2451 | Ryan Health Clinic 1104 6th Street Ryan OK 73565-0157 Ph: (580) 757-2451 |
| NPI Number | 1609801836 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609801836 | NPI | - | NPPES |
| 100730660 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2233 (Oklahoma) | Primary |
Ryan Medical Clinic, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Washington St, Ryan, OK 73565 Phone: 580-757-2224 Fax: 580-757-2226 | |
Ryan Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1104 6th St, Ryan, OK 73565 Phone: 580-757-2451 |