| Family Health Care & Minor Emergency Clinic Inc | |
|
11109 Surrey Hills Blvd Yukon OK 73099-8155 | |
| (405) 373-2400 | |
| (405) 373-4400 |
| Full Name | Family Health Care & Minor Emergency Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11109 Surrey Hills Blvd, Yukon, Oklahoma |
| Authorized Official Name and Position | Antonia Pratt-reid (CEO) |
| Authorized Official Contact | 4053732400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care & Minor Emergency Clinic Inc Po Box 660 Piedmont OK 73078-0660 Ph: (405) 373-2400 | Family Health Care & Minor Emergency Clinic Inc 11109 Surrey Hills Blvd Yukon OK 73099-8155 Ph: (405) 373-2400 |
| NPI Number | 1548355134 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/18/2016 |
| Medicare PECOS PAC ID | 8729075650 |
|---|---|
| Medicare Enrollment ID | O20040430000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548355134 | NPI | - | NPPES |
| 200010210B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Brett A Germany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295796225 PECOS PAC ID: 2668400839 Enrollment ID: I20050728001238 |
| Provider Name | Antonia M Pratt-reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477595635 PECOS PAC ID: 9335136266 Enrollment ID: I20060707000138 |
| Provider Name | Cene L Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225070485 PECOS PAC ID: 1658377502 Enrollment ID: I20061017000065 |
| Provider Name | Michelle L Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316122039 PECOS PAC ID: 4880744549 Enrollment ID: I20090618000346 |
| Provider Name | David Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912109885 PECOS PAC ID: 6305010547 Enrollment ID: I20111128000137 |
| Provider Name | Damarcus Rochoen Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194080499 PECOS PAC ID: 8123273877 Enrollment ID: I20130301000246 |
| Provider Name | Rachel Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558665067 PECOS PAC ID: 6406094408 Enrollment ID: I20130604000075 |
| Provider Name | Charles Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497164396 PECOS PAC ID: 4183942683 Enrollment ID: I20150414000120 |
| Provider Name | Katherine M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113833 PECOS PAC ID: 5294158853 Enrollment ID: I20200715000662 |
Aquilo Medical Home Team Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-990-6654 | |
Michael D. Furgeson, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Vandament Ave, Suite 100, Yukon, OK 73099 Phone: 405-350-8100 Fax: 405-350-6418 | |
Primary Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Doyle Chiropractic And Family Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W Vandament Ave, Yukon, OK 73099 Phone: 405-354-5753 Fax: 405-354-5828 | |
Catrina Bourne, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir, Suite A, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Serve Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14540 W Wilshire Blvd, Yukon, OK 73099 Phone: 480-550-9096 | |
Family Urgent Care Yukon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Cornwell Drive, Yukon, OK 73099 Phone: 405-265-2300 |