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Good Shepherd Community Clinic, Inc.
Federally Qualified Health Center (FQHC) in Ardmore, Oklahoma
NPI 1285010413

Good Shepherd Community Clinic, Inc. is a Federally Qualified Health Center (FQHC) based in Ardmore, OK and is specialized in Federally Qualified Health Center (FQHC). Good Shepherd Community Clinic, Inc. practices in Ardmore, OK. The NPI Number for Good Shepherd Community Clinic, Inc. is 1285010413 and holds a License No. (Oklahoma).

The current practice location address for Good Shepherd Community Clinic, Inc. is 20 12Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-223-3411 and via fax at 580-223-6614.

Location: 20 12Th Ave Nw, Ardmore, OK, 73401-5722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285010413
Provider Name
Good Shepherd Community Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
20 12Th Ave Nw, Ardmore, OK, 73401-5722
Phone Number
580-223-3411
Fax Number
580-223-6614
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 12Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-5722
Phone Number
580-223-3411
Fax Number
580-223-6614
person
Provider Business Mailing Address Details
Address
20 12Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-5722
Phone Number
580-223-3411
Fax Number
580-223-6614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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