Organization
FIRST CHOICE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE BETH GRATZ ARNP (OWNER)
(580) 371-0500
Entity
Organization
Contact information
Practice address
9 N MAIN, KINGSTON, OK 73439-7343
(158) 056-4050
(580) 564-0500
Mailing address
PO BOX 849, TISHOMINGO, OK 73460-0849
(580) 564-0500
(580) 564-0250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7588
OK
364SF0001X
Family Health Clinical Nurse Specialist
R0067529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117140A
—
OK
Enumeration date
07/26/2007
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us