| Mercy Health Love County Rural Health Clinic | |
|
301 Wanda St Marietta OK 73448-1229 | |
| (580) 276-2400 | |
| (580) 276-4358 |
| Full Name | Mercy Health Love County Rural Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Wanda St, Marietta, Oklahoma |
| Authorized Official Name and Position | W Scott Callender (ADMINISTRATOR) |
| Authorized Official Contact | 5802733347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Love County Rural Health Clinic 301 Wanda St Marietta OK 73448-1229 Ph: (580) 276-2400 | Mercy Health Love County Rural Health Clinic 301 Wanda St Marietta OK 73448-1229 Ph: (580) 276-2400 |
| NPI Number | 1578513792 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 4880580950 |
|---|---|
| Medicare Enrollment ID | O20080530000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578513792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 373429 (Oklahoma) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Mercy Health Love County Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 |