| Chc/ok Bartlesville Clinic | |
|
1223 Swan Dr Ste C Bartlesville OK 74006-5037 | |
| (888) 777-9170 | |
| Not Available |
| Full Name | Chc/ok Bartlesville Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1223 Swan Dr Ste C, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Daniel Spencer Creitz (SR VP) |
| Authorized Official Contact | 6202405015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc/ok Bartlesville Clinic Po Box 1832 Pittsburg KS 66762-1832 Ph: (620) 231-1960 | Chc/ok Bartlesville Clinic 1223 Swan Dr Ste C Bartlesville OK 74006-5037 Ph: (888) 777-9170 |
| NPI Number | 1265138580 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20230627002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265138580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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