Kimberly M Wirths (NPI# 1619922416, PAC ID# 5597653980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1619922416 |
| PAC ID by PECOS | 5597653980 |
| Professional Enrollment ID | I20141020000146 |
| Full Name | Kimberly M Wirths |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA |
| Address |
138 Sn Main St Afton OK 74331-1822 |
| Phone Number | 918257802921 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9133352081 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370171 | W W HASTINGS INDIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 138 Sn Main St, Afton, OK 74331-1822 | 918257802921 | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA |
| Physicians | 1 |
| Street Address |
138 SN MAIN ST |
| City | AFTON |
| State | OK |
| Zip | 74331-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy R Evans | Physician Assistant | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
| Melinda K Bailey | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
| Russell A Peters | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 138 S Main St, Afton, OK 74331-1822 |
| Amy Dawn Humphrey | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 138 S Main, Afton, OK 74331-1822 |
| Natalie Brooke Sydebotham | Speech Language Pathologist | Saint Francis Hospital Vinita, Inc. | 26300 S Hwy 125, Afton, OK 74331-6282 |
| City | AFTON |
| Zip Code | 74331 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | AFTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kimberly M Wirths.
| 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.