| |
905 Nw 5th St Stigler OK 74462-1611 | |
(918) 967-0072 | |
(918) 967-5040 |
Full Name | |
---|---|
Speciality | Clinic/center - Medical Specialty |
Location | 905 Nw 5th St, Stigler, Oklahoma |
Authorized Official Name and Position | Joseph S Morris (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9189674682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
905 Nw 5th St Stigler OK 74462-1611 Ph: (918) 967-0072 | 905 Nw 5th St Stigler OK 74462-1611 Ph: (918) 967-0072 |
NPI Number | 1659498152 |
---|---|
Provider Enumeration Date | 03/22/2007 |
Last Update Date | 03/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659498152 | NPI | - | NPPES |
100744050B | Medicaid | OK | |
100744050A | Medicaid | OK | |
100744050C | Medicaid | OK | |
200036010A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | (Oklahoma) | Primary |
Green Country Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Nw 5th St, Stigler, OK 74462 Phone: 918-967-0072 Fax: 918-967-5040 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Nw H St, Stigler, OK 74462 Phone: 888-339-7339 | |