institution
Pushmataha Family Medical Center, Inc
Federally Qualified Health Center (FQHC) in Clayton, Oklahoma
NPI 1891882676

Pushmataha Family Medical Center, Inc is a Federally Qualified Health Center (FQHC) based in Clayton, OK and is specialized in Federally Qualified Health Center (FQHC). Pushmataha Family Medical Center, Inc practices in Clayton, OK. The NPI Number for Pushmataha Family Medical Center, Inc is 1891882676 and holds a License No. (Oklahoma).

The current practice location address for Pushmataha Family Medical Center, Inc is 109 Stanley Road, Clayton, OK and can be reached out via phone at 918-569-4143 and via fax at 918-569-7343.

Location: 109 Stanley Road, Clayton, OK, 74536
institution
Provider Profile Details
NPI Number
1891882676
Provider Name
Pushmataha Family Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
109 Stanley Road, Clayton, OK, 74536
Phone Number
918-569-4143
Fax Number
918-569-7343
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
622460 01 OK UNIVERSAL DATA SYSTEM
200072150B 05 OK
institution
Provider Business Practice Location Address Details
Address
109 Stanley Road
City
State
Zip
74536
Phone Number
918-569-4143
Fax Number
918-569-7343
person
Provider Business Mailing Address Details
Address
109 Stanley Road
City
State
Zip
74536
Phone Number
918-569-4143
Fax Number
918-569-7343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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