# EASTPOINTE MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558733782
- **Authorized official:** MISS ROXANN SHAW (PRESIDENT)
- **Authorized official phone:** (903) 495-1105

## Contact information

- **Practice address:** 1506 S BROADWAY ST, POTEAU, OK 74953-2900
- **Practice address phone:** (903) 495-1105
- **Mailing address:** 1506 S BROADWAY ST, POTEAU, OK 74953-2900
- **Mailing address phone:** (918) 647-7046
- **Mailing address fax:** (918) 647-7047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 02/06/2017