Organization
JAMES DENNIS MEDICAL FOUNDATION INC
Active
Other names
Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY SUE MITCHELL (ADMINISTRATOR)
(580) 594-2292
Entity
Organization
Contact information
Practice address
1153 CHEROKEE ST, WAKITA, OK 73771-5095
(580) 594-2292
(580) 594-2534
Mailing address
1153 CHEROKEE ST, WAKITA, OK 73771-9520
(580) 594-2292
(580) 594-2534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2701-2701
OK
Other
Enumeration date
03/21/2007
Last updated
04/18/2014
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