| Gsp Health Enid | |
|
231 S 30th St Enid OK 73701-6455 | |
| (580) 223-2900 | |
| Not Available |
| Full Name | Gsp Health Enid |
|---|---|
| Speciality | Clinic/Center |
| Location | 231 S 30th St, Enid, 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 |
|---|---|
| Gsp Health Enid 405 S Oklahoma Ave Cherokee OK 73728-2545 Ph: () - | Gsp Health Enid 231 S 30th St Enid OK 73701-6455 Ph: (580) 223-2900 |
| NPI Number | 1245667732 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 07/03/2023 |
| Medicare PECOS PAC ID | 9133201171 |
|---|---|
| Medicare Enrollment ID | O20131114000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245667732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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