| Kiamichi Family Medical Center Inc. | |
|
601 Se Washington St Idabel OK 74745-3319 | |
| (580) 286-6688 | |
| (580) 286-6699 |
| Full Name | Kiamichi Family Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Se Washington St, Idabel, Oklahoma |
| Authorized Official Name and Position | Amy Gilbreath (CEO) |
| Authorized Official Contact | 5802415294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiamichi Family Medical Center Inc. 601 Se Washington St Idabel OK 74745-3319 Ph: (580) 286-6688 | Kiamichi Family Medical Center Inc. 601 Se Washington St Idabel OK 74745-3319 Ph: (580) 286-6688 |
| NPI Number | 1184633786 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 09/03/2015 |
| Medicare PECOS PAC ID | 7315855541 |
|---|---|
| Medicare Enrollment ID | O20060303000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184633786 | NPI | - | NPPES |
| 200003420C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Idabel Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4900 Fax: 580-286-3955 | |
Thomas W. Salyer, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-3993 | |
George Edward Freeman, D.o.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 E Lincoln Rd, Suite B-1, Idabel, OK 74745 Phone: 580-286-4949 Fax: 580-286-4946 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Ne Lincoln Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Ardeshir F. Nia, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4300 Fax: 580-286-5530 | |
Idabel Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Washington St, Idabel, OK 74745 Phone: 580-286-1095 Fax: 580-286-3122 |