| Sac & Fox Nation | |
|
356110 E 930 Rd Stroud OK 74079-5184 | |
| (918) 968-9531 | |
| (918) 968-9057 |
| Full Name | Sac & Fox Nation |
|---|---|
| Speciality | Clinic/Center |
| Location | 356110 E 930 Rd, Stroud, Oklahoma |
| Authorized Official Name and Position | Sheri Brown (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9189689531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sac & Fox Nation 356110 E 930 Rd Stroud OK 74079-5184 Ph: (918) 968-9531 | Sac & Fox Nation 356110 E 930 Rd Stroud OK 74079-5184 Ph: (918) 968-9531 |
| NPI Number | 1871663203 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 2668361379 |
|---|---|
| Medicare Enrollment ID | O20040311000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871663203 | NPI | - | NPPES |
| 100729660A | Medicaid | OK | |
| 730078966-001 | Other | OK | BCBS OF OKLAHOMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Zachary Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669430435 PECOS PAC ID: 6800850645 Enrollment ID: I20041112000213 |
| Provider Name | Linda K Blunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699796862 PECOS PAC ID: 4486659091 Enrollment ID: I20061003000273 |
| Provider Name | Michael H Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134160344 PECOS PAC ID: 7911047089 Enrollment ID: I20091221000673 |
| Provider Name | Debra K. Mee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780742924 PECOS PAC ID: 9931232337 Enrollment ID: I20100805000782 |
| Provider Name | James E Webb |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679561385 PECOS PAC ID: 3274693221 Enrollment ID: I20110422000278 |
| Provider Name | Tyler A Rolette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386070530 PECOS PAC ID: 6305074790 Enrollment ID: I20140109001690 |
| Provider Name | Gregory B Dunlevy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437553476 PECOS PAC ID: 5092024976 Enrollment ID: I20151015000189 |
| Provider Name | Jayne Deanne Fortenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942585 PECOS PAC ID: 2365733763 Enrollment ID: I20160615000311 |
| Provider Name | Narendar K Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699871566 PECOS PAC ID: 3870523582 Enrollment ID: I20160825001975 |
| Provider Name | Joshua L Nooner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134662190 PECOS PAC ID: 0941553200 Enrollment ID: I20181102001286 |
| Provider Name | Jeanette Sue Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851865802 PECOS PAC ID: 1850726407 Enrollment ID: I20200109000124 |
| Provider Name | Amber Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891572772 PECOS PAC ID: 3072969781 Enrollment ID: I20231031002724 |
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Rural Wellness Stroud Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-968-1622 | |
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