Organization
ALLEN HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER NICOLE PRENTICE FNP (OWNER)
(580) 857-2424
Entity
Organization
Contact information
Practice address
202 W BROADWAY, ALLEN, OK 74824
(580) 857-2424
(580) 857-2220
Mailing address
PO BOX 350, ALLEN, OK 74825-0350
(580) 857-2424
(580) 857-2220
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
86291
OK
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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