| Hinton Family Medical Clinic, Llc | |
|
1500 N Broadway Blvd Hinton OK 73047-0220 | |
| (405) 542-6131 | |
| (405) 542-3665 |
| Full Name | Hinton Family Medical Clinic, Llc |
|---|---|
| Speciality | Physician Assistant |
| Location | 1500 N Broadway Blvd, Hinton, Oklahoma |
| Authorized Official Name and Position | Jennifer Gale Garner (MANAGING MEMBER) |
| Authorized Official Contact | 4055426131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinton Family Medical Clinic, Llc Po Box 220 1500 N Broadway Bvld Hinton OK 73047-0220 Ph: (405) 542-6131 | Hinton Family Medical Clinic, Llc 1500 N Broadway Blvd Hinton OK 73047-0220 Ph: (405) 542-6131 |
| NPI Number | 1952482192 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952482192 | NPI | - | NPPES |
| 200073360A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14812 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | PA 873 (Oklahoma) | Primary |
Great Plain Correctional Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sugar Creek Drive, Hinton, OK 73047 Phone: 405-542-3711 Fax: 405-542-3743 |