Eastside Clinic in Tahlequah - Family Medicine
Eastside Clinic - NPI 1023295193
Eastside Clinic is a Family Medicine in Tahlequah, Oklahoma. Eastside Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eastside Clinic is 1023295193. The last update date is 2008-07-28.
Eastside Clinic's current location address is Po Box 59, Tahlequah, Oklahoma. You can contact this provider via phone number 9184566250 and fax number 9184564080. The mailing address for Eastside Clinic is Po Box 59, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Clinic |
|---|---|
| Address | Po Box 59, Tahlequah, Oklahoma |
| Phone Number | 9184566250 |
| Fax Number | 9184564080 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DOCT |
|---|---|
| Authorized Official Name | Seratt Mark James |
| Credentials | M.D. |
| Telephone Number | 9184566250 |
NPI Number Detail
| NPI Number | 1023295193 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | Po Box 59 |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744650059 |
| Phone Number | 9184566250 |
| Fax Number | 9184564080 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15674 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4111208 | OK | AETNA | |
| C95468 | OK | UPIN | |
| 110118510A | OK | -- | |
| 445569081002 | OK | BLUECROSS AND BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eastside Clinic by the Centers for Medicare & Medicaid Services?
The Eastside Clinic has been issued the NPI (National Provider Identifier) 1023295193, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eastside Clinic's physical address?
The Eastside Clinic is physically located at Po Box 59, in the city of Tahlequah, OK, with the postal code 744650059.
What is Eastside Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eastside Clinic is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023295193 to Eastside Clinic?
The Centers for Medicare & Medicaid Services assigned the 1023295193 to Eastside Clinic on 2008-01-30.
When was the information related to Eastside Clinic most recently updated or refreshed?
The details pertaining to the Eastside Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-28.
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