Healthcare Provider Details

I. General information

NPI: 1568649887
Provider Name (Legal Business Name): AFFORDABLE AFTER HOURS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 HIGHWAY 59 N
HEAVENER OK
74937-2252
US

IV. Provider business mailing address

714 HIGHWAY 59 N
HEAVENER OK
74937-2252
US

V. Phone/Fax

Practice location:
  • Phone: 918-653-2345
  • Fax: 918-653-2385
Mailing address:
  • Phone: 918-653-2345
  • Fax: 918-653-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License NumberROO46658
License Number StateOK

VIII. Authorized Official

Name: MELINDA FAYE SCANTLING
Title or Position: OWNER
Credential: ARNP
Phone: 918-653-2345