| Clayborn Family Clinic, Llc | |
|
517 N Broadway St Checotah OK 74426-1623 | |
| (918) 973-2372 | |
| (877) 991-9307 |
| Full Name | Clayborn Family Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 517 N Broadway St, Checotah, Oklahoma |
| Authorized Official Name and Position | Ashton Clayborn (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9189732372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayborn Family Clinic, Llc 517 N Broadway St Checotah OK 74426-1623 Ph: (918) 973-2372 | Clayborn Family Clinic, Llc 517 N Broadway St Checotah OK 74426-1623 Ph: (918) 973-2372 |
| NPI Number | 1164951901 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164951901 | NPI | - | NPPES |
| 200629770A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5726 (Oklahoma) | Primary |
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