| Jackson Medical Clinic, Pc | |
|
410 E Cherokee St Wagoner OK 74467-4708 | |
| (918) 485-5591 | |
| (918) 485-5758 |
| Full Name | Jackson Medical Clinic, Pc |
|---|---|
| Speciality | General Practice |
| Location | 410 E Cherokee St, Wagoner, Oklahoma |
| Authorized Official Name and Position | Kelly Noel Haley (OFFICE MANAGER) |
| Authorized Official Contact | 9184855591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Medical Clinic, Pc 410 E Cherokee St Wagoner OK 74467-4708 Ph: (918) 485-5591 | Jackson Medical Clinic, Pc 410 E Cherokee St Wagoner OK 74467-4708 Ph: (918) 485-5591 |
| NPI Number | 1457594699 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457594699 | NPI | - | NPPES |
| 100141080E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 28153 (Oklahoma) | Primary |
Casey Hanna Md Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467 Phone: 918-485-5188 Fax: 915-485-5402 | |
John Belk Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 580-647-6594 | |
Wagoner Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467 Phone: 918-485-1877 Fax: 918-485-0535 | |
Jillian Riley D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St, Suite D, Wagoner, OK 74467 Phone: 918-406-2567 Fax: 918-742-1103 | |
Cmg Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467 Phone: 918-485-9696 Fax: 918-485-1701 | |
Farmer Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1202 W Cherokee St Ste H, Wagoner, OK 74467 Phone: 918-485-7020 Fax: 918-485-7023 |