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NPI Code Detail

MEDICARE: HEALTH CARE DIRECT, LLC

MEDICARE: HEALTH CARE DIRECT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1063057461
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH CARE DIRECT, LLC
Provider Business Mailing Address
First Line : PO BOX 273
Second Line :
City : ELK CITY
State : OK
Zip : 73648-0273
Country : US
Telephone Number : 580-821-2430
Fax Number :
Provider Business Practice Location Address
First Line : 920 N MAIN ST
Second Line :
City : ELK CITY
State : OK
Zip : 73644-2829
Country : US
Telephone Number : 580-821-2430
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MONICA BROWNFIELD
Credential : NP
Telephone Number : 580-821-2430
Provider Enumeration Date : 11/10/2019
Last Update Date : 11/10/2019

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Directions to “HEALTH CARE DIRECT, LLC ” Practice Location

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