Vivian L Wilson
COMMUNITY HEALTH CENTERS, INC


Address: 12716 Ne 36th St, Mary Mahoney Mem Hlth Ctr, Spencer, OK 73084-9167
Phone: 4057693301

Vivian L Wilson (NPI# 1386753945, PAC ID# 1355385014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1386753945
PAC ID by PECOS 1355385014
Professional Enrollment ID I20050614000233
Full Name Vivian L Wilson
Organization Legal Name COMMUNITY HEALTH CENTERS, INC
Address 12716 Ne 36th St
Mary Mahoney Mem Hlth Ctr
Spencer
OK 73084-9167
Phone Number 4057693301
Gender F
Credential MD
Medical School UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year 1977
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4688584436
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370094 ALLIANCEHEALTH MIDWEST

Other Locations

Address Phone Organization
12716 Ne 36th St, Mary Mahoney Mem Hlth Ctr, Spencer, OK 73084-9167 4057693301 COMMUNITY HEALTH CENTERS, INC

Organization Information

Organization Legal Name COMMUNITY HEALTH CENTERS, INC
Physicians 41

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Office Location

Street Address 12716 NE 36TH ST
MARY MAHONEY MEM HLTH CTR
City SPENCER
State OK
Zip 73084-9167

Physicians in the same location

Name Specialty Organization Address
Priya P Samant Internal Medicine Community Health Centers, Inc 12716 Ne 36th St, Mary Mahoney Mem Hlth Ctr, Spencer, OK 73084-9167
Sheleatha M Taylor Bristow Family Medicine Community Health Centers, Inc 12716 Ne 36th St, Mary Mahoney Mem Hlth Ctr, Spencer, OK 73084-9167
Fred Loper Family Medicine Community Health Centers, Inc 12716 Ne 36th St, Mary Mahoney Mem Hlth Ctr, Spencer, OK 73084-9167
Allie S Simon Nurse Practitioner Community Health Centers Inc 12716 Ne 36th St, Spencer, OK 73084-9167

Physicians in the same zip code

Name Specialty Organization Address
Limei Yang Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Kanwaldeep Mann Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Hashib D Faruque Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Fiona Yanhua Li Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Patrick James Kennedye Family Medicine Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Tu Bui Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649
Brett I Cunningham Psychiatry Integris Ambulatory Care Corporation 2601 Spencer Rd, Spencer, OK 73084-3649

Competitor

Search similar physicians

City SPENCER
Zip Code 73084
Specialty FAMILY MEDICINE
City + Specialty SPENCER + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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