# MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
- **Other names:** Idabel Primary Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013248376
- **Legal business name:** MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
- **Authorized official:** MR. RAY B WHITMORE JR. (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (580) 208-3104

## Contact information

- **Practice address:** 1425 E LINCOLN RD, IDABEL, OK 74745-7345
- **Practice address phone:** (580) 286-4900
- **Practice address fax:** (580) 286-3955
- **Mailing address:** 1301 E LINCOLN RD, IDABEL, OK 74745-7300
- **Mailing address phone:** (580) 208-3104
- **Mailing address fax:** (580) 208-3199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2010
- **Last updated:** 01/26/2010