Organization
SEMINOLE HMA LLC
Active
Other names
AllianceHealth Clinic Shawnee
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR / DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
3700 N KICKAPOO AVE STE 124, SHAWNEE, OK 74804-0007
(405) 273-6383
(405) 214-1078
Mailing address
3700 N KICKAPOO AVE STE 124, SHAWNEE, OK 74804-0007
(405) 273-6383
(405) 214-1078
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2342
OK
Other
Enumeration date
03/09/2018
Last updated
04/21/2021
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