Organization
FAMILY CLINIC OF WELEETKA
Active
Other names
Family Clinic of Weleetka
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN PARKER PHYSICIAN ASSISTANT (MANAGER)
(405) 786-2248
Entity
Organization
Contact information
Practice address
315 W. 9TH, WELEETKA, OK 74880
(405) 786-2248
(405) 786-2006
Mailing address
PO BOX 337, WELEETKA, OK 74880-0337
(405) 786-2248
(405) 786-2006
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
373819
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743630B
—
OK
Enumeration date
02/01/2008
Last updated
09/28/2021
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