Organization Name: | ROWLAND FLATT CLINIC |
NPI Number: | 1295037000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD WAYNE FLATT (DIRECTOR/ OWNER PARTNER) |
Mailing Address: | 603 Ne 2nd St Antlers |
State: | OK US |
Postal Code: | 745232636 |
Phone Number: | 5802983351 |
Fax Number: | 5802983803 |
NPI Enumeration Date: | 11/30/2010 |
NPI Last Update Date: | 11/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |