| Rockford Family Care | |
|
317 N Rockford Rd Ardmore OK 73401-2552 | |
| (580) 229-3695 | |
| Not Available |
| Full Name | Rockford Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 317 N Rockford Rd, Ardmore, Oklahoma |
| Authorized Official Name and Position | Rhea Buycks (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 5802293695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Family Care 317 N Rockford Rd Ardmore OK 73401-2552 Ph: (580) 229-3695 | Rockford Family Care 317 N Rockford Rd Ardmore OK 73401-2552 Ph: (580) 229-3695 |
| NPI Number | 1619421377 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 9335420801 |
|---|---|
| Medicare Enrollment ID | O20161222000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619421377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin B Fore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063510 PECOS PAC ID: 5193777993 Enrollment ID: I20050219000003 |
| Provider Name | Stacey Gayle Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598407579 PECOS PAC ID: 6406230143 Enrollment ID: I20220830003197 |
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