| Southern Plains Medical Center, Inc | |
|
1901 N Moore Ave Ste 28 Moore OK 73160-3607 | |
| (405) 224-8111 | |
| Not Available |
| Full Name | Southern Plains Medical Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1901 N Moore Ave Ste 28, Moore, Oklahoma |
| Authorized Official Name and Position | Hareshkumar Boghara (OWNER) |
| Authorized Official Contact | 4052248111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Plains Medical Center, Inc 2222 W Iowa Ave Chickasha OK 73018-2738 Ph: (405) 224-8111 | Southern Plains Medical Center, Inc 1901 N Moore Ave Ste 28 Moore OK 73160-3607 Ph: (405) 224-8111 |
| NPI Number | 1194589978 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194589978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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