| Samuel L Hague Md Pc | |
|
1009 W Ferguson Ave Blackwell OK 74631-5602 | |
| (580) 363-0052 | |
| (580) 363-0894 |
| Full Name | Samuel L Hague Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1009 W Ferguson Ave, Blackwell, Oklahoma |
| Authorized Official Name and Position | Samuel L Hague (PRESIDENT) |
| Authorized Official Contact | 5803630052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel L Hague Md Pc 1009 W Ferguson Ave Blackwell OK 74631-5602 Ph: (580) 363-0052 | Samuel L Hague Md Pc 1009 W Ferguson Ave Blackwell OK 74631-5602 Ph: (580) 363-0052 |
| NPI Number | 1821123621 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113999087 |
|---|---|
| Medicare Enrollment ID | O20040811000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821123621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22530 (Oklahoma) | Primary |
| Provider Name | Samuel L Hague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528064763 PECOS PAC ID: 5496736886 Enrollment ID: I20040601000681 |
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Blackwell Hospital Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 S 13th St Ste C, Blackwell, OK 74631 Phone: 580-363-2311 | |
Blackwell Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Doolin Ave, Blackwell, OK 74631 Phone: 580-363-3288 Fax: 580-363-2781 | |
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