Organization
ADAIR COUNTY HEALTH CENTER,INC.
Active
Other names
PHYSICIANS CLINIC DBA NICHOLAS BENTLEY, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY A. ROSS (CLINIC MANAGER)
(918) 696-4065
Entity
Organization
Contact information
Practice address
1401 W LOCUST ST, 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971
Mailing address
1401 W LOCUST ST, 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2348
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200460A
—
OK
Enumeration date
11/08/2007
Last updated
02/03/2009
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