| Okeene Municipal Hospital And Schallmo Authority | |
|
124 N 6th St Okeene OK 73763 | |
| (580) 822-4404 | |
| (580) 822-4403 |
| Full Name | Okeene Municipal Hospital And Schallmo Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 N 6th St, Okeene, Oklahoma |
| Authorized Official Name and Position | Shelly R Dunham (CEO) |
| Authorized Official Contact | 5808224417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Okeene Municipal Hospital And Schallmo Authority 124 N 6th St Okeene OK 73763 Ph: (580) 822-4404 | Okeene Municipal Hospital And Schallmo Authority 124 N 6th St Okeene OK 73763 Ph: (580) 822-4404 |
| NPI Number | 1053478024 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 3971583535 |
|---|---|
| Medicare Enrollment ID | O20050212000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053478024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kirt E Bierig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316979768 PECOS PAC ID: 4587654306 Enrollment ID: I20040514000032 |
| Provider Name | Kent T King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508832205 PECOS PAC ID: 2769530708 Enrollment ID: I20090501000263 |
| Provider Name | Beth R Holderby Acre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433299 PECOS PAC ID: 5294959334 Enrollment ID: I20140612000145 |
| Provider Name | Cayci Lynn Brickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932586468 PECOS PAC ID: 9830481605 Enrollment ID: I20180629000017 |
| Provider Name | Mason Ray Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104440247 PECOS PAC ID: 0648693804 Enrollment ID: I20220418001939 |
| Provider Name | Douglas Lee Kruckner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192226 PECOS PAC ID: 4082631130 Enrollment ID: I20220627002942 |
Okeene Municpal Hospital And Schallmo Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N 6th St, Okeene, OK 73763 Phone: 580-822-4404 Fax: 580-822-4403 |