Jacob C Hostetler
INTEGRATED COMMUNITY CLINICS PA


Address: 1121 Neo Loop, Grove, OK 74344-6046
Phone: 9187868448

Jacob C Hostetler (NPI# 1265829485, PAC ID# 5395048599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1265829485
PAC ID by PECOS 5395048599
Professional Enrollment ID I20180628002168
Full Name Jacob C Hostetler
Organization Legal Name INTEGRATED COMMUNITY CLINICS PA
Address 1121 Neo Loop
Grove
OK 74344-6046
Phone Number 9187868448
Gender M
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2567361165
Number of Group Practice Members 27
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370113 INTEGRIS GROVE HOSPITAL
370004 INTEGRIS MIAMI HOSPITAL

Other Locations

Address Phone Organization
1121 Neo Loop, Grove, OK 74344-6046 9187868448 INTEGRATED COMMUNITY CLINICS PA
451 S Holly St, Siloam Springs, AR 72761-3018 4795243141 INTEGRATED COMMUNITY CLINICS PA

Organization Information

Organization Legal Name INTEGRATED COMMUNITY CLINICS PA
Physicians 33

Physicians with the same organization

Name Specialty Organization Address
Stacy L Johnson Nurse Practitioner Integrated Community Clinics Pa 1261 E Tulsa Ave, Kansas, OK 74347-7026
Ezra L Cole Pediatric Medicine Integrated Community Clinics Pa 1101 -2 N Progress Ave, Siloam Springs, AR 72761-1374
Teresa B Mckinney Physician Assistant Integrated Community Clinics Pa 1250 W Valley Dr, Siloam Springs, AR 72761-3018
Dan J Springer Family Medicine Integrated Community Clinics Pa 451 S Holly St, Siloam Springs, AR 72761-3018
Ashish Mathur Family Medicine Integrated Community Clinics Pa 643 E 3rd St, Gentry, AR 72734-8258
Cheryl B Kroeker Emergency Medicine Integrated Community Clinics Pa 108 Main Ave, Chouteau, OK 74337-2842
Mark Edgar Miller Family Medicine Integrated Community Clinics Pa 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797
Lora M Collier Family Medicine Integrated Community Clinics Pa 609 E Main St, Locust Grove, OK 74352-5139
Michael Davis Payne Ii Family Medicine Integrated Community Clinics Pa 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797
Jamie L Mcdermott Registered Dietitian Or Nutrition Professional Integrated Community Clinics Pa 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797

Office Location

Street Address 1121 NEO LOOP
City GROVE
State OK
Zip 74344-6046

Physicians in the same location

Name Specialty Organization Address
Zachary T Bechtol Family Medicine 1121 Neo Loop, Suite A, Grove, OK 74344-6046
Toby G Moore Orthopedic Surgery Orthopaedic Specialists of The Four States, LLC 1121 Neo Loop, Grove, OK 74344-6046
Mary E Littlefield Nurse Practitioner Integrated Community Clinics Pa 1121 Neo Loop, Grove, OK 74344-6046
Dorothy A Mayes Nurse Practitioner Integrated Community Clinics Pa 1121 Neo Loop, Grove, OK 74344-6046
Charles J Chouteau Family Practice Integrated Community Clinics Pa 1121 Neo Loop, Grove, OK 74344-6046

Physicians in the same zip code

Name Specialty Organization Address
Luke R Leming Family Medicine Integris Ambulatory Care Corporation 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097
Samuel J Ratermann Family Medicine Integris Ambulatory Care Corporation 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097
Samantha L Chamberlain Physical Therapy Redbud Physical Therapy LLC 1118 S Main St, Grove, OK 74344-2800
Michael Andrew Williams Physical Therapy Redbud Physical Therapy LLC 1118 S Main St, Grove, OK 74344-2800
Sue Marie Montgomery Physical Therapy Redbud Physical Therapy LLC 1118 S Main St, Grove, OK 74344-2800
Robert F Burke Optometry 1105 S Main St, Grove, OK 74344-2801
Shawn M Anderson Family Medicine 700 S Main St, Grove, OK 74344-2841
Gail L Offermann Emergency Medicine Rapid Remedy Urgent Care Center Pllc 700 S Main St, Grove, OK 74344-2841
Marcia K Matthews Family Practice Rapid Remedy Urgent Care Center Pllc 700 S Main St, Grove, OK 74344-2841
Burness R Yandell Optometry Ramie Lay Od PC 1013 S Main St, Grove Eye Center, Grove, OK 74344-2847
Find all physicians in zip 74344

Competitor

Search similar physicians

City GROVE
Zip Code 74344
Specialty FAMILY MEDICINE
City + Specialty GROVE + 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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