| East Central Oklahoma Family Health Center, Inc. Pharmacy | |
|
109 S Main St Wetumka OK 74883-4015 | |
| (405) 452-5400 | |
| (405) 452-3379 |
| Full Name | East Central Oklahoma Family Health Center, Inc. Pharmacy |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 S Main St, Wetumka, Oklahoma |
| Authorized Official Name and Position | Donna Dyer (CEO) |
| Authorized Official Contact | 4054523151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Central Oklahoma Family Health Center, Inc. Pharmacy Po Box 236 Wetumka OK 74883-0236 Ph: (405) 452-5400 | East Central Oklahoma Family Health Center, Inc. Pharmacy 109 S Main St Wetumka OK 74883-4015 Ph: (405) 452-5400 |
| NPI Number | 1316196546 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 3779643994 |
|---|---|
| Medicare Enrollment ID | O20081118000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316196546 | NPI | - | NPPES |
| 200235450A | Medicaid | OK | |
| 2134967 | Other | PK |
Wetumka Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Washita St, Wetumka, OK 74883 Phone: 405-452-5558 Fax: 405-452-5557 | |
East Central Oklahoma Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
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