| NPI | 1982790390 |
|---|---|
| Doing Business As | GENERAL MEDICAID |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA HAYNES Division Chief, Community Health 918-594-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-06-16 |