# ADAIR COUNTY HEALTH CENTER,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHYSICIANS CLINIC DBA NICHOLAS BENTLEY, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730369547
- **Authorized official:** BEVERLY A. ROSS (CLINIC MANAGER)
- **Authorized official phone:** (918) 696-4065

## Contact information

- **Practice address:** 1401 W LOCUST ST, 102, STILWELL, OK 74960-3217
- **Practice address phone:** (918) 696-4065
- **Practice address fax:** (918) 696-5971
- **Mailing address:** 1401 W LOCUST ST, 102, STILWELL, OK 74960-3217
- **Mailing address phone:** (918) 696-4065
- **Mailing address fax:** (918) 696-5971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2348 | OK | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 02/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100200460A | — | OK |