| Vici Community Clinic | |
|
104 W. Broadway Vici OK 73859-5900 | |
| (580) 995-3004 | |
| (580) 922-3006 |
| Full Name | Vici Community Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 104 W. Broadway, Vici, Oklahoma |
| Authorized Official Name and Position | Timothy R Parker (CEO) |
| Authorized Official Contact | 5809227361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vici Community Clinic Po Box 720 Seiling OK 73663-0720 Ph: (580) 922-7361 | Vici Community Clinic 104 W. Broadway Vici OK 73859-5900 Ph: (580) 995-3004 |
| NPI Number | 1982934261 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982934261 | NPI | - | NPPES |
| 200287200C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2256 (Oklahoma) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 2256 (Oklahoma) | Primary |
Vici Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W. Broadway, Vici, OK 73859 Phone: 580-995-3004 Fax: 580-995-3006 | |
Leslie Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box A1, Vici, OK 73859 Phone: 580-995-3200 Fax: 580-995-3202 | |
Vici Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Broadway, Vici, OK 73859 Phone: 580-995-3004 Fax: 580-995-3006 |