| Stathealth Clinic | |
|
805 Se Washington St Idabel OK 74745-3331 | |
| (580) 286-1095 | |
| (580) 286-3122 |
| Full Name | Stathealth Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Se Washington St, Idabel, Oklahoma |
| Authorized Official Name and Position | Kerri Lea Seymour (OWNER) |
| Authorized Official Contact | 5802861095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stathealth Clinic 805 Se Washington St Idabel OK 74745-3331 Ph: (580) 286-1095 | Stathealth Clinic 805 Se Washington St Idabel OK 74745-3331 Ph: (580) 286-1095 |
| NPI Number | 1912298845 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 2769652858 |
|---|---|
| Medicare Enrollment ID | O20110829000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912298845 | NPI | - | NPPES |
| 200344450A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kerri Lea Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932548062 PECOS PAC ID: 8921242330 Enrollment ID: I20130924000739 |
| Provider Name | Kimberly R Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992170609 PECOS PAC ID: 9931498813 Enrollment ID: I20160516002458 |
| Provider Name | Heather N England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396107306 PECOS PAC ID: 2860770070 Enrollment ID: I20181112002055 |
Idabel Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4900 Fax: 580-286-3955 | |
Thomas W. Salyer, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-3993 | |
George Edward Freeman, D.o.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 E Lincoln Rd, Suite B-1, Idabel, OK 74745 Phone: 580-286-4949 Fax: 580-286-4946 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Ne Lincoln Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Ardeshir F. Nia, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4300 Fax: 580-286-5530 | |
Idabel Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Washington St, Idabel, OK 74745 Phone: 580-286-1095 Fax: 580-286-3122 |