| Waynoka Family Clinic | |
|
1084 Nickerson St Waynoka OK 73860-1245 | |
| (580) 824-2291 | |
| (580) 824-0429 |
| Full Name | Waynoka Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1084 Nickerson St, Waynoka, Oklahoma |
| Authorized Official Name and Position | Greg A Meyers (VP INTEGRIS REGIONAL PHYS PRACT MGM) |
| Authorized Official Contact | 5809771831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waynoka Family Clinic Po Box 5038 Enid OK 73702-5038 Ph: (580) 548-1367 | Waynoka Family Clinic 1084 Nickerson St Waynoka OK 73860-1245 Ph: (580) 824-2291 |
| NPI Number | 1124029293 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 12/16/2013 |
| Medicare PECOS PAC ID | 0345151981 |
|---|---|
| Medicare Enrollment ID | O20030820000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124029293 | NPI | - | NPPES |
| 100699500K | Medicaid | OK | |
| 100755790C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alva Hospital Authority/dba Share Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Santa Fe St, Waynoka, OK 73860 Phone: 580-327-2800 | |
The Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Santa Fe St., Waynoka, OK 73860 Phone: 580-824-0330 Fax: 580-824-0939 |