| Southeastern Oklahoma Family Services, Inc. | |
|
113653 Old Highway 69 Eufaula OK 74432 | |
| (918) 490-2073 | |
| Not Available |
| Full Name | Southeastern Oklahoma Family Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 113653 Old Highway 69, Eufaula, Oklahoma |
| Authorized Official Name and Position | Bre'yon James (DIRECTOR OF OPERATION) |
| Authorized Official Contact | 9184901352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oklahoma Family Services, Inc. Po Box 466 Eufaula OK 74432-0466 Ph: (918) 490-1352 | Southeastern Oklahoma Family Services, Inc. 113653 Old Highway 69 Eufaula OK 74432 Ph: (918) 490-2073 |
| NPI Number | 1255648580 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 4284772328 |
|---|---|
| Medicare Enrollment ID | O20120111000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255648580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ivora P Sensibaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730474073 PECOS PAC ID: 3173846532 Enrollment ID: I20141216002452 |
| Provider Name | Seth Aaron Stambaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730706219 PECOS PAC ID: 6507273125 Enrollment ID: I20210916001855 |
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