| |
1401 W 1st St Wewoka OK 74884-5097 | |
(405) 257-3396 | |
(405) 257-6908 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1401 W 1st St, Wewoka, Oklahoma |
Authorized Official Name and Position | Glenn Alvin Crowson (CEO) |
Authorized Official Contact | 4052573396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1093 Wewoka OK 74884-1093 Ph: (405) 257-3396 | 1401 W 1st St Wewoka OK 74884-5097 Ph: (405) 257-3396 |
NPI Number | 1033103452 |
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Provider Enumeration Date | 08/31/2005 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033103452 | NPI | - | NPPES |
100740370B | Medicaid | OK | |
100156370A | Medicaid | OK | |
200015980A | Medicaid | OK | |
100740370C | Medicaid | OK |
Usphs/ihs/wewoka Indian Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36640 Hwy 270, Wewoka, OK 74884 Phone: 405-257-7361 Fax: 405-257-3344 | |
Indian Health Service-wewoka Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Jct Hwys 56 & 270, Wewoka, OK 74884 Phone: 405-257-7361 | |
Wewoka Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Indian Rd, Wewoka, OK 74884 Phone: 405-257-9055 Fax: 405-257-9951 | |