| Ryan Family Care | |
|
1104 6th St Ryan OK 73565-9549 | |
| (580) 757-2451 | |
| Not Available |
| Full Name | Ryan Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1104 6th St, Ryan, Oklahoma |
| Authorized Official Name and Position | Douglas Richard Volinski (CFO) |
| Authorized Official Contact | 5802518554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Family Care Po Box 157 Ryan OK 73565-0157 Ph: (580) 757-2451 | Ryan Family Care 1104 6th St Ryan OK 73565-9549 Ph: (580) 757-2451 |
| NPI Number | 1699211474 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 5193613057 |
|---|---|
| Medicare Enrollment ID | O20170523001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699211474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ryan Medical Clinic, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Washington St, Ryan, OK 73565 Phone: 580-757-2224 Fax: 580-757-2226 | |
Ryan Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 6th Street, Ryan, OK 73565 Phone: 580-757-2451 |