| Nowata Family Health Center | |
|
207 S Locust St Nowata OK 74048-3660 | |
| (918) 273-9911 | |
| (918) 273-9946 |
| Full Name | Nowata Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 S Locust St, Nowata, Oklahoma |
| Authorized Official Name and Position | Saunya Moore (CFO) |
| Authorized Official Contact | 9182956107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nowata Family Health Center 1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171 | Nowata Family Health Center 207 S Locust St Nowata OK 74048-3660 Ph: (918) 273-9911 |
| NPI Number | 1538155163 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 1951297621 |
|---|---|
| Medicare Enrollment ID | O20111213000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538155163 | NPI | - | NPPES |
| 1538155163 | Other | OK | NPI |
| 100768880J | Medicaid | OK | |
| WCDPG | Other | OK | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Primary |
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