| Family Clinic Of Weleetka | |
|
315 W. 9th Weleetka OK 74880 | |
| (405) 786-2248 | |
| (405) 786-2006 |
| Full Name | Family Clinic Of Weleetka |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 W. 9th, Weleetka, Oklahoma |
| Authorized Official Name and Position | Jan Parker (MANAGER) |
| Authorized Official Contact | 4057862248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic Of Weleetka Po Box 337 Weleetka OK 74880-0337 Ph: (405) 786-2248 | Family Clinic Of Weleetka 315 W. 9th Weleetka OK 74880 Ph: (405) 786-2248 |
| NPI Number | 1699953687 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 09/28/2021 |
| Medicare PECOS PAC ID | 0840322368 |
|---|---|
| Medicare Enrollment ID | O20100720000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699953687 | NPI | - | NPPES |
| 100743630B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 373819 (Oklahoma) | Primary |
Sanderson Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 9th St, Weleetka, OK 74880 Phone: 405-786-2248 Fax: 405-786-2006 |