# SHAWNEE MEDICAL CENTER CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Anthony Physicians Meeker
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386016962
- **Authorized official:** BARBARA D. ADAMS (ACCOUNTANT/CREDENTIALING)
- **Authorized official phone:** (405) 395-3931

## Contact information

- **Practice address:** 102 W. CARL HUBBELL BLVD., MEEKER, OK 74855
- **Practice address phone:** (405) 279-4281
- **Practice address fax:** (405) 279-4285
- **Mailing address:** PO BOX 849, SHAWNEE, OK 74802-0849
- **Mailing address phone:** (405) 279-4281

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015
