| Pro-care Family Health Of Oklahoma , Llc | |
|
1103 Dewey Ave Poteau OK 74953-4411 | |
| (918) 647-0670 | |
| (918) 647-0460 |
| Full Name | Pro-care Family Health Of Oklahoma , Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1103 Dewey Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Chris Dooly (MEMBER) |
| Authorized Official Contact | 9186470670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-care Family Health Of Oklahoma , Llc Po Box 1278 Poteau OK 74953-1278 Ph: (918) 647-0670 | Pro-care Family Health Of Oklahoma , Llc 1103 Dewey Ave Poteau OK 74953-4411 Ph: (918) 647-0670 |
| NPI Number | 1396234761 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 1456603901 |
|---|---|
| Medicare Enrollment ID | O20181010002297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396234761 | NPI | - | NPPES |
| Provider Name | Jonathan S Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184682866 PECOS PAC ID: 6406757087 Enrollment ID: I20040119000702 |
| Provider Name | William A Willis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205875846 PECOS PAC ID: 6204831001 Enrollment ID: I20060929000396 |
| Provider Name | Ladd C Atkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912198375 PECOS PAC ID: 8729174842 Enrollment ID: I20071019000333 |
| Provider Name | Randall J Matos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780632273 PECOS PAC ID: 1355432295 Enrollment ID: I20100907000862 |
| Provider Name | Jami Dawn Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295187318 PECOS PAC ID: 0345534608 Enrollment ID: I20160809001604 |
| Provider Name | Vanessa G Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755503 PECOS PAC ID: 5698011906 Enrollment ID: I20190108001299 |
Leflore County Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Wall St, Poteau, OK 74953 Phone: 918-647-8635 Fax: 918-635-3191 | |
River Valley Primary Care Of Poteau, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Dewey Ave, Poteau, OK 74953 Phone: 504-495-6772 | |
Dennis J Carter Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Dewey Ave, Poteau, OK 74953 Phone: 918-647-2929 Fax: 918-647-2288 | |
Gtz And Enk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2706 N Broadway St, Poteau, OK 74953 Phone: 918-647-7100 Fax: 918-647-7101 | |
Huddleston Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 N Broadway St, Poteau, OK 74953 Phone: 918-721-0290 Fax: 918-564-2406 | |
Lynda K Enkoff Health Blooms Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Broadway St Ste E, Poteau, OK 74953 Phone: 918-208-7497 Fax: 918-208-7687 |