Cms Outpatient Clinic Inc. | |
201 N Monte Vista St Suite C Ada OK 74820-7220 | |
(580) 310-0015 | |
(580) 310-0909 |
Full Name | Cms Outpatient Clinic Inc. |
---|---|
Speciality | Family Medicine |
Location | 201 N Monte Vista St, Ada, Oklahoma |
Authorized Official Name and Position | Michael R, Stafford (PHYSICIAN) |
Authorized Official Contact | 5803100015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cms Outpatient Clinic Inc. 201 N Monte Vista St Suite C Ada OK 74820-7220 Ph: (580) 310-0015 | Cms Outpatient Clinic Inc. 201 N Monte Vista St Suite C Ada OK 74820-7220 Ph: (580) 310-0015 |
NPI Number | 1154489540 |
---|---|
Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154489540 | NPI | - | NPPES |
200039450B | Medicaid | OK | |
200039450A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 4 days ago
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