Stillwater Medical Center Authority | |
505 N 14th St Perry OK 73077-5021 | |
(580) 336-3529 | |
Not Available |
Full Name | Stillwater Medical Center Authority |
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Speciality | Clinic/Center |
Location | 505 N 14th St, Perry, Oklahoma |
Authorized Official Name and Position | Denise Adrienne Webber (CEO) |
Authorized Official Contact | 4057425230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stillwater Medical Center Authority Po Box 720006 Norman OK 73070-4006 Ph: (405) 742-5300 | Stillwater Medical Center Authority 505 N 14th St Perry OK 73077-5021 Ph: (580) 336-3529 |
NPI Number | 1720561939 |
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Provider Enumeration Date | 09/13/2018 |
Last Update Date | 09/13/2018 |
Medicare PECOS PAC ID | 2365353794 |
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Medicare Enrollment ID | O20181020000436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720561939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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