Full Name | |
---|---|
Speciality | Clinic/Center |
Location | Us Highway 60 Ne, Seiling, Oklahoma |
Authorized Official Name and Position | Mickey Louthan (MAYOR) |
Authorized Official Contact | 5809224460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1043 Seiling OK 73663-1043 Ph: () - | Us Highway 60 Ne Seiling OK 73663 Ph: (580) 922-7361 |
NPI Number | 1356759823 |
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Provider Enumeration Date | 07/29/2014 |
Last Update Date | 07/29/2014 |
Medicare PECOS PAC ID | 9830189059 |
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Medicare Enrollment ID | O20141119000338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356759823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 2256 (Oklahoma) | Primary |
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