| Center For Internal Medicine And Pediatrics - Crescent | |
|
400 S Grand Crescent OK 73028 | |
| (405) 969-2818 | |
| Not Available |
| Full Name | Center For Internal Medicine And Pediatrics - Crescent |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 S Grand, Crescent, Oklahoma |
| Authorized Official Name and Position | Steve Rowley (CEO) |
| Authorized Official Contact | 4052604191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Internal Medicine And Pediatrics - Crescent Po Box 258 Crescent OK 73028-0258 Ph: (405) 969-2818 | Center For Internal Medicine And Pediatrics - Crescent 400 S Grand Crescent OK 73028 Ph: (405) 969-2818 |
| NPI Number | 1497753487 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497753487 | NPI | - | NPPES |
| CD8588 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2267 (Oklahoma) | Primary |
Ltcnp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14355 W Crescent Dover Rd, Crescent, OK 73028 Phone: 405-650-5561 Fax: 405-400-2559 | |
Mercy Hospital Logan County Crescent Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Grand, Crescent, OK 73028 Phone: 405-969-2818 |