| Fmc Henryetta | |
|
2401 West Main Street Henryetta OK 74437 | |
| (918) 652-4418 | |
| (918) 652-0480 |
| Full Name | Fmc Henryetta |
|---|---|
| Speciality | Clinic/center |
| Location | 2401 West Main Street, Henryetta, Oklahoma |
| Authorized Official Name and Position | Rocky H Fields (CEO AREA MANAGER) |
| Authorized Official Contact | 4058789300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Henryetta 3807 N Harrison Street Shawnee OK 74804 Ph: (405) 878-9300 | Fmc Henryetta 2401 West Main Street Henryetta OK 74437 Ph: (918) 652-4418 |
| NPI Number | 1851588248 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851588248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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