| Oklahoma Integrated Care Plc | |
|
1013 15th Ave Nw Ardmore OK 73401-1810 | |
| (580) 504-1517 | |
| Not Available |
| Full Name | Oklahoma Integrated Care Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1013 15th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Tasha Preston (NURSE PRACTITIONER) |
| Authorized Official Contact | 5805041517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Integrated Care Plc 1013 15th Ave Nw Ardmore OK 73401-1810 Ph: (580) 238-4277 | Oklahoma Integrated Care Plc 1013 15th Ave Nw Ardmore OK 73401-1810 Ph: (580) 504-1517 |
| NPI Number | 1316540495 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 5193113751 |
|---|---|
| Medicare Enrollment ID | O20211101001490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316540495 | NPI | - | NPPES |
| Provider Name | Mary Jean Stuard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558731661 PECOS PAC ID: 5698075927 Enrollment ID: I20151118001671 |
| Provider Name | Tasha Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811205925 PECOS PAC ID: 8123258530 Enrollment ID: I20180906000303 |
| Provider Name | Stephanie D Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938391 PECOS PAC ID: 6901140599 Enrollment ID: I20181210000478 |
| Provider Name | April D Claxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821731084 PECOS PAC ID: 9335185701 Enrollment ID: I20220518003004 |
The Dai Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 West Main, Suite 324, Ardmore, OK 73401 Phone: 580-226-9222 Fax: 580-226-9226 | |
Community Children's Shelter & Family Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Monroe St Ne, Ardmore, OK 73401 Phone: 580-226-1838 Fax: 580-223-7856 | |
The Jetty Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St Ste 430, Ardmore, OK 73401 Phone: 580-224-2830 Fax: 405-665-6396 | |
Wrightway Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Commerce St Ste 634, Ardmore, OK 73401 Phone: 580-795-4844 Fax: 575-267-6243 | |
Felicia Hurst Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 N Commerce St Ste 212, Ardmore, OK 73401 Phone: 918-916-9896 | |
Bloom Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Woodside Dr, Ardmore, OK 73401 Phone: 580-222-7023 | |
Kristi Mccoy, Counseling And Assessment, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St, Suite 329, Ardmore, OK 73401 Phone: 580-504-9232 |