# ADA OUTPATIENT CLINIC, INC.

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

## Provider details

- **NPI number:** 1801002118
- **Authorized official:** MS. CYNTHIA ELAINE YARBERRY (OFFICE MANAGER)
- **Authorized official phone:** (580) 332-8900

## Contact information

- **Practice address:** 2901 ARLINGTON ST, ADA, OK 74820-2928
- **Practice address phone:** (580) 332-8900
- **Practice address fax:** (580) 332-9052
- **Mailing address:** 2901 ARLINGTON ST, ADA, OK 74820-2928
- **Mailing address phone:** (580) 332-8900
- **Mailing address fax:** (580) 332-9052

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 05/05/2010