| Community Medical Clinic | |
|
1318 Elm St Perry OK 73077-5034 | |
| (580) 336-9411 | |
| (580) 336-9422 |
| Full Name | Community Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1318 Elm St, Perry, Oklahoma |
| Authorized Official Name and Position | Joseph Greenlee (BOARD CHAIRMAN) |
| Authorized Official Contact | 5803363541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Clinic 501 N 14th St Perry OK 73077-5021 Ph: (580) 336-9411 | Community Medical Clinic 1318 Elm St Perry OK 73077-5034 Ph: (580) 336-9411 |
| NPI Number | 1760892921 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 10/14/2014 |
| Medicare PECOS PAC ID | 8022187699 |
|---|---|
| Medicare Enrollment ID | O20141208000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760892921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2268 (Oklahoma) | Primary |
| Provider Name | Julian D Cecil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053601849 PECOS PAC ID: 2466601521 Enrollment ID: I20121004000372 |
| Provider Name | Ashley M Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487944427 PECOS PAC ID: 7911138052 Enrollment ID: I20141208001167 |
Perry Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 14th St, Perry, OK 73077 Phone: 580-336-3529 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 N 14th St, Perry, OK 73077 Phone: 580-336-3529 | |
Perry Wellnes Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Attn: J. Ek, Perry, OK 73077 Phone: 580-336-3735 Fax: 580-336-3738 | |
Community Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Perry, OK 73077 Phone: 580-336-2176 Fax: 580-336-3178 | |
Jim Knecht D.o., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N 14th St, Perry, OK 73077 Phone: 580-336-2209 Fax: 580-336-4584 | |
Community Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1318 Elm St, Perry, OK 73077 Phone: 580-336-9411 Fax: 580-336-9422 |