Organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Active
Parent organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Other names
Great Salt Plains Health Center Inc - Enid Broadway Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT SALT PLAINS HEALTH CENTER, INC.
Authorized official
TIMOTHY STARKEY (CEO)
(580) 215-1766
Entity
Organization
Contact information
Practice address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 596-2800
Mailing address
205 W MAPLE AVE STE 1000, ENID, OK 73701-4047
(580) 233-2900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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