| Sam Hider Health Center | |
|
859 E. Melton Drive Jay OK 74346-4205 | |
| (918) 253-4271 | |
| (918) 253-4938 |
| Full Name | Sam Hider Health Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 859 E. Melton Drive, Jay, Oklahoma |
| Authorized Official Name and Position | Stephen Robert Jones (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
| Authorized Official Contact | 9182531700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Hider Health Center Po Box 1069 Tahlequah OK 74465-1069 Ph: (539) 234-2694 | Sam Hider Health Center 859 E. Melton Drive Jay OK 74346-4205 Ph: (918) 253-4271 |
| NPI Number | 1659388965 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659388965 | NPI | - | NPPES |
| 100700620A | Medicaid | OK | |
| 370171 | Other | OK | MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Oklahoma) | Primary |
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