| Great Salt Plains Health Center | |
|
310 E. Walnut Street Canton OK 73724 | |
| (580) 596-2800 | |
| Not Available |
| Full Name | Great Salt Plains Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 E. Walnut Street, Canton, Oklahoma |
| Authorized Official Name and Position | Tim Starkey (CEO) |
| Authorized Official Contact | 5805962800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Salt Plains Health Center 405 S Oklahoma Ave Cherokee OK 73728-2545 Ph: () - | Great Salt Plains Health Center 310 E. Walnut Street Canton OK 73724 Ph: (580) 596-2800 |
| NPI Number | 1427593409 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 07/03/2023 |
| Medicare PECOS PAC ID | 9133201171 |
|---|---|
| Medicare Enrollment ID | O20170517000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427593409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Main Street Family Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Main St, Canton, OK 73724 Phone: 405-506-9101 Fax: 405-936-0561 |