Organization
GOOD SHEPHERD COMMUNITY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA MYERS (CEO)
(580) 223-3411
Entity
Organization
Contact information
Practice address
20 12TH AVE NW, ARDMORE, OK 73401-5722
(580) 223-3411
(580) 223-6614
Mailing address
20 12TH AVE NW, ARDMORE, OK 73401-5722
(580) 223-3411
(580) 223-6614
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
02/22/2022
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