# EASTERN OKLAHOMA MEDICAL CONSULTANTS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588147938
- **Authorized official:** SHELLY F KEATHLEY (OFFICE MANAGER)
- **Authorized official phone:** (918) 489-5757

## Contact information

- **Practice address:** 700 N MAIN ST, GORE, OK 74435-2013
- **Practice address phone:** (918) 489-5757
- **Practice address fax:** (918) 489-5411
- **Mailing address:** PO BOX 1100, GORE, OK 74435-1100
- **Mailing address phone:** (918) 489-5757
- **Mailing address fax:** (918) 489-5411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 09/12/2018