Superior Medical | |
700 N Main St Gore OK 74435-2013 | |
(918) 489-5757 | |
(918) 489-5411 |
Full Name | Superior Medical |
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Speciality | General Practice |
Location | 700 N Main St, Gore, Oklahoma |
Authorized Official Name and Position | Sarah K Mays (OFFICE ADMIN) |
Authorized Official Contact | 9184895757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Medical Po Box 1100 Gore OK 74435-1100 Ph: (918) 489-5757 | Superior Medical 700 N Main St Gore OK 74435-2013 Ph: (918) 489-5757 |
NPI Number | 1073330056 |
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Provider Enumeration Date | 09/23/2024 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 0941736631 |
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Medicare Enrollment ID | O20241204003476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073330056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Brandon L King |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609173038 PECOS PAC ID: 5597999094 Enrollment ID: I20131017000274 |
Provider Name | Lester M Keathley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003188962 PECOS PAC ID: 2668882390 Enrollment ID: I20201106002291 |
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Eastern Oklahoma Medical Consultants, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 North Main, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
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Ltc Solutions, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 North Main, Gore, OK 74435 Phone: 918-520-0859 Fax: 918-489-5260 |