Utica Park Clinic Primary Care | |
2405 W Main St Ste A Henryetta OK 74437 | |
(918) 650-1180 | |
(918) 650-1294 |
Full Name | Utica Park Clinic Primary Care |
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Speciality | Clinic/Center |
Location | 2405 W Main St Ste A, Henryetta, Oklahoma |
Authorized Official Name and Position | Stephen C. Petrovich (EVP) |
Authorized Official Contact | 6152963000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Utica Park Clinic Primary Care 2405 W Main St Henryetta OK 74437-3893 Ph: (918) 650-1180 | Utica Park Clinic Primary Care 2405 W Main St Ste A Henryetta OK 74437 Ph: (918) 650-1180 |
NPI Number | 1295232478 |
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Provider Enumeration Date | 04/12/2018 |
Last Update Date | 05/29/2019 |
Medicare PECOS PAC ID | 9638143282 |
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Medicare Enrollment ID | O20190516000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295232478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Quickmed Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Main St, Henryetta, OK 74437 Phone: 539-667-0001 | |
Lovell Family Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 W Main St, Henryetta, OK 74437 Phone: 918-652-9614 Fax: 918-652-4831 | |
Hometown Healthcare Solution, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 W Main St, Henryetta, OK 74437 Phone: 918-319-5021 | |
A G Swinney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28870 South Dewey Bartlett Ave, Henryetta, OK 74437 Phone: 918-652-2513 Fax: 918-652-7884 | |
East Central Oklahoma Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 West Main Street, Henryetta, OK 74437 Phone: 918-652-9615 Fax: 918-652-7612 | |
Fmc Henryetta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 West Main Street, Henryetta, OK 74437 Phone: 918-652-4418 Fax: 918-652-0480 |