| The Family Care Center Of Harrah, Inc. | |
|
20826 Main St Harrah OK 73045-9755 | |
| (405) 454-2404 | |
| (405) 454-6372 |
| Full Name | The Family Care Center Of Harrah, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 20826 Main St, Harrah, Oklahoma |
| Authorized Official Name and Position | Len U Lacefield (ADMINISTRATOR) |
| Authorized Official Contact | 4054542404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Care Center Of Harrah, Inc. Po Box 900 Harrah OK 73045-0900 Ph: (405) 454-2404 | The Family Care Center Of Harrah, Inc. 20826 Main St Harrah OK 73045-9755 Ph: (405) 454-2404 |
| NPI Number | 1801840368 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 6709882715 |
|---|---|
| Medicare Enrollment ID | O20061016000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801840368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 2323 (Oklahoma) | Primary |
| Provider Name | Cary L Lacefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134101249 PECOS PAC ID: 6305841008 Enrollment ID: I20061016000345 |
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