| Alpha M.d., Plc | |
|
4602 Us Highway 59 Grove OK 74344-4229 | |
| (918) 877-1211 | |
| (918) 877-1216 |
| Full Name | Alpha M.d., Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4602 Us Highway 59, Grove, Oklahoma |
| Authorized Official Name and Position | Jacob Hostetler (MANAGER) |
| Authorized Official Contact | 9188771211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha M.d., Plc Po Box 450130 Grove OK 74345-0130 Ph: () - | Alpha M.d., Plc 4602 Us Highway 59 Grove OK 74344-4229 Ph: (918) 877-1211 |
| NPI Number | 1245978774 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 11/13/2022 |
| Medicare PECOS PAC ID | 2961881867 |
|---|---|
| Medicare Enrollment ID | O20220623001960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245978774 | NPI | - | NPPES |
| 201090500A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Jacob Clark Hostetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829485 PECOS PAC ID: 5395048599 Enrollment ID: I20180628002168 |
Renee J. Zarintash, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 104, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 201, Grove, OK 74344 Phone: 918-561-8306 Fax: 918-561-5747 | |
Northeast Oklahoma Family Practice & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St, Suite H, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256 | |
Lesa Landon And Amber Landon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63153 East 290 Road, Grove, OK 74344 Phone: 918-801-5991 | |
Integris Grove Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 13th St, Ste A, C, G & H, Grove, OK 74344 Phone: 918-786-2243 | |
Family Care Spec, Inc., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St Ste C, Grove, OK 74344 Phone: 918-786-6151 Fax: 918-786-3483 |