Organization
JEFFERSON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Family Clinic of Ringling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS JANE MCDOWELL (CHIEF EXECUTIVE OFFICER)
(580) 228-2344
Entity
Organization
Contact information
Practice address
502 SOUTH 6TH STREET, RINGLING, OK 73456-0096
(580) 662-2316
Mailing address
PO BOX 96, RINGLING, OK 73456-0096
(580) 662-2316
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2233
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730660
—
OK
Enumeration date
07/18/2006
Last updated
06/17/2008
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