Main Street Family Clinic Llc | |
211 W Main St Canton OK 73724-1234 | |
(405) 506-9101 | |
(405) 936-0561 |
Full Name | Main Street Family Clinic Llc |
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Speciality | Family Medicine |
Location | 211 W Main St, Canton, Oklahoma |
Authorized Official Name and Position | Beth Holderby (OWNER) |
Authorized Official Contact | 5805519131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Family Clinic Llc Po Box 57390 Oklahoma City OK 73157-7390 Ph: (405) 506-9101 | Main Street Family Clinic Llc 211 W Main St Canton OK 73724-1234 Ph: (405) 506-9101 |
NPI Number | 1275326191 |
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Provider Enumeration Date | 05/23/2025 |
Last Update Date | 05/23/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275326191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Great Salt Plains Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 E. Walnut Street, Canton, OK 73724 Phone: 580-596-2800 |