Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2518 N Main St, Miami, Oklahoma |
Authorized Official Name and Position | Grant Asay (CEO) |
Authorized Official Contact | 4054451210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
701 Cedar Lake Blvd Ste 120 Oklahoma City OK 73114-7815 Ph: (405) 445-1210 | 2518 N Main St Miami OK 74354-1602 Ph: (918) 540-9080 |
NPI Number | 1386214112 |
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Provider Enumeration Date | 06/24/2021 |
Last Update Date | 02/24/2023 |
Medicare PECOS PAC ID | 3375832157 |
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Medicare Enrollment ID | O20210707002645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386214112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Doney Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, Suite 201, Miami, OK 74354 Phone: 918-542-8477 Fax: 918-542-6422 | |
Durham Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-3500 Fax: 918-540-3506 | |
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