| Oklahoma Family Neighbor Provider Corporation | |
|
114 South Pecan St. Boley OK 74829 | |
| (918) 667-3352 | |
| (918) 667-3358 |
| Full Name | Oklahoma Family Neighbor Provider Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 114 South Pecan St., Boley, Oklahoma |
| Authorized Official Name and Position | Colleen L. Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9186673352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Family Neighbor Provider Corporation 114 South Pecan St. Boley OK 74829 Ph: (918) 667-3352 | Oklahoma Family Neighbor Provider Corporation 114 South Pecan St. Boley OK 74829 Ph: (918) 667-3352 |
| NPI Number | 1295825321 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295825321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Oklahoma) | Primary |
Smith & Smith Comprehensive Health Care Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 South Pecan Street, Boley, OK 74829 Phone: 918-667-3352 Fax: 918-667-3358 |