COVINGTON HEALTH CLINIC INCORPORATED


Address: 402 North Fifth Street, Covington, OK 73730-0093
Phone: 5804020543

COVINGTON HEALTH CLINIC INCORPORATED (NPI# 1245432350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245432350
Entity Type Organization
Organization Name COVINGTON HEALTH CLINIC INCORPORATED
Practice Address 402 North Fifth Street
Covington
OK 73730-0093
Mailing Address Po Box 93
Covington
OK 73730-0093
Practice Telephone 5804020543
Practice Fax Number 5802337680
Mailing Telephone 5804020543
Mailing Fax Number 5802337680
Enumeration Date 2007-06-01
Last Update Date 2007-10-02
Authorized Official Name CHERYL MCFADDEN (FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 5804020543
Authorized Official Credential MS, ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 402 NORTH FIFTH STREET
City COVINGTON
State OK
Zip Code 73730-0093

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1629586375 Wade Family Medicine, LLC. Clinic/Center 115 S Munford St, Covington, TN 38019-2527 2018-01-16
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1073693958 Northlake Medicine and Wellness Center, LLC Clinic/Center 1980 N Highway 190, Covington, LA 70433-5158 2006-10-16
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Competitor

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City COVINGTON
Zip Code 73730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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