| Traditions Health Of Mcalester | |
|
100 S 3rd St Mcalester OK 74501-5300 | |
| (918) 426-0983 | |
| Not Available |
| Full Name | Traditions Health Of Mcalester |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S 3rd St, Mcalester, Oklahoma |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health Of Mcalester 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-2466 | Traditions Health Of Mcalester 100 S 3rd St Mcalester OK 74501-5300 Ph: (918) 426-0983 |
| NPI Number | 1669199634 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 3274949409 |
|---|---|
| Medicare Enrollment ID | O20230106001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669199634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jack H Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982699096 PECOS PAC ID: 0143381293 Enrollment ID: I20081208000186 |
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