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471688 Highway 51 Stilwell OK 74960-4490 | |
(918) 696-8800 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 471688 Highway 51, Stilwell, Oklahoma |
Authorized Official Name and Position | Stephen Robert Jones (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
Authorized Official Contact | 9186968800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1069 Tahlequah OK 74465-1069 Ph: (539) 234-2694 | 471688 Highway 51 Stilwell OK 74960-4490 Ph: (918) 696-8800 |
NPI Number | 1992711345 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 11/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992711345 | NPI | - | NPPES |
100689220B | Medicaid | OK | |
370171 | Other | OK | MEDICARE PART A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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