| Shawnee Medical Center Clinic, Inc | |
|
3315 Kethley Rd Shawnee OK 74804-9638 | |
| (405) 273-5801 | |
| (405) 878-3794 |
| Full Name | Shawnee Medical Center Clinic, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3315 Kethley Rd, Shawnee, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Medical Center Clinic, Inc 3315 Kethley Rd Shawnee OK 74804-9638 Ph: (405) 273-5801 | Shawnee Medical Center Clinic, Inc 3315 Kethley Rd Shawnee OK 74804-9638 Ph: (405) 273-5801 |
| NPI Number | 1205301231 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205301231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Jonathan D Cargill, Phd, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E 9th St, Suite 311, Shawnee, OK 74801 Phone: 405-275-6701 Fax: 405-598-3668 | |
Scott Hupfer, Ms Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W Independence St, Suite #115, Shawnee, OK 74804 Phone: 405-323-7927 Fax: 405-214-0185 | |
Bison Family Therapy Institute, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Kickapoo Ave Ste 900, Shawnee, OK 74804 Phone: 405-585-6413 Fax: 405-395-0255 | |
Vision For Life Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-639-4714 | |
Kelly Veeley Heart Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 N Broadway Ave, Shawnee, OK 74801 Phone: 405-777-8033 | |
Hope Revealed Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2218 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-596-3833 | |
Steven James Randolph Lcsw-acsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E 9th St, Ste 321, Shawnee, OK 74801 Phone: 405-476-5487 Fax: 405-521-9736 |