| Mountain Gateway Senior Health | |
|
105 Wall St Poteau OK 74953-4433 | |
| (918) 647-8161 | |
| Not Available |
| Full Name | Mountain Gateway Senior Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 105 Wall St, Poteau, Oklahoma |
| Authorized Official Name and Position | Michael J Carter (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 9186353300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Gateway Senior Health Po Box 1148 Poteau OK 74953-1148 Ph: (918) 647-8161 | Mountain Gateway Senior Health 105 Wall St Poteau OK 74953-4433 Ph: (918) 647-8161 |
| NPI Number | 1184997447 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184997447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Oklahoma) | Primary |
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