| Ruffin Medicine Llc | |
|
1940 Harper St Choctaw OK 73020-8095 | |
| (405) 281-6065 | |
| (405) 281-6068 |
| Full Name | Ruffin Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1940 Harper St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Larry L Ruffin (OWNER) |
| Authorized Official Contact | 4052816065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruffin Medicine Llc 11124 Ne 5th St # Na Choctaw OK 73020-7701 Ph: (405) 281-6065 | Ruffin Medicine Llc 1940 Harper St Choctaw OK 73020-8095 Ph: (405) 281-6065 |
| NPI Number | 1699421941 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 9133506264 |
|---|---|
| Medicare Enrollment ID | O20220511001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699421941 | NPI | - | NPPES |
| 200072870B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Larry Lee Ruffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396790143 PECOS PAC ID: 7719900620 Enrollment ID: I20060124000192 |
Cary Carpenter, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
Revitalize Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16339 Silver Spring Dr, Choctaw, OK 73020 Phone: 918-633-0622 | |
Choctaw Wellness Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15803 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
Ico Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1664 S Choctaw Rd Ste 101, Choctaw, OK 73020 Phone: 405-281-2144 | |
Bruce A. Stafford, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-4280 Fax: 405-390-4282 | |
Gregory P. Kelley D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-769-7201 Fax: 405-769-4034 |