| St. John Physicians, Inc | |
|
112 North 5th Street Barnsdall OK 74002-0609 | |
| (918) 847-2558 | |
| (918) 847-2053 |
| Full Name | St. John Physicians, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 North 5th Street, Barnsdall, Oklahoma |
| Authorized Official Name and Position | Gayle Burden (DIRECTOR) |
| Authorized Official Contact | 9183311090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Physicians, Inc 112 N 5th P.o. Box 609 Barnsdall OK 74002-0609 Ph: (918) 847-2558 | St. John Physicians, Inc 112 North 5th Street Barnsdall OK 74002-0609 Ph: (918) 847-2558 |
| NPI Number | 1033176367 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 09/02/2016 |
| Medicare PECOS PAC ID | 2567366495 |
|---|---|
| Medicare Enrollment ID | O20151007001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033176367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Barnsdall School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 South Eighth St., Barnsdall, OK 74002 Phone: 918-847-2271 Fax: 918-847-3029 |