November 2021 CSU Newsletter

November 2021

The Monthly Newsletter for Clinton, El Reno,
and Watonga Indian Health Centers

Executive leadership of Clinton Service Unit provide an overview of service at the Cheyenne and Arapaho
Tribes’ Diabetes Wellness Program’s 18th Annual Elder’s Conference

18th Annual Elder’s Conference WHAT’S INSIDE:

“Native Elder’s Surviving a Pandemic” was the theme for the Cheyenne and Arapaho Tribes’ 18th Annual COVID Update
Elder’s Conference at the Frisco, Center in Clinton, Oklahoma on November 4, 2021. Clinton Service Unit Flu Vaccines
(CSU) was well represented at the event, sharing knowledge, resources, and providing updates on health Veterans
information with the elders.
Open Enrollment for
The CSU Executive Leadership Team of Captain Joe Bryant (chief executive officer), Dr. Chris Renshaw HealthCare.gov
(medical director), and Kateri Fletcher-Sahmaunt (Reno/Watonga facility unit director), shared information PRC Appointment
on the services available throughout the service unit, how to access these services, the availability of Scheduling
telehealth to meet patients needs, and the expansion project in El Reno. Podiatry
Quarterly Awards
Dr. John Warrick (podiatrist), Dr. Devyn Staggs (optometrist), and Commander Kristie Purdy (dietitian),
brought awareness through presenting health issues facing Native elders in the communities served by HIV/AIDS Awareness
CSU. Throughout the day-long event, elders had the opportunity to visit informational booths, which in- El Reno Update
cluded the departments of CSU, to learn of health care services offered and answer questions related to New Employees
meeting their needs. POP Awards

While all those in attendance were required to be fully vaccinated for COVID-19, Public Health Nursing
(PHN) was on-site providing COVID-19 booster immunizations, annual flu vaccines, and other adult im-
munizations as needed. In total, PHN administered 64 vaccinations to 41 elders at the conference.

CSU was honored to provide health information and resources to the tribal elders and Native community
we serve.

What the IHS Mission Means to Me...

Angela Silverhorn

Purchased/Referred Care - Clinton Indian Health Center

“I believe our mission emphasizes what we should strive for on a daily basis with INDIAN HEALTH
our patients and in every situation,” said Angela Silverhorn, purchase/referred SERVICE
care (PRC). “Whether patients are in the clinic, or if we see them outside of this MISSION
facility in passing, we want to encourage and promote good health to them. In
PRC, we work directly with patients every day. Many of the employees in PRC To raise the physical,
have developed great friendships by working with our patients. They know us mental, social, and

and we know them. When they succeed in health, we succeed.” spiritual health of
American Indians
“We strive to be one voice to our patients, promoting the same physical, mental, and Alaska Natives to
social and spiritual health to all. To be mentally and emotionally equipped to the highest level.
build our patients up in their time of need. To value them and show respect
wholeheartedly. I am proud to be a part of this team, caring for our Native CLINTON
people and pushing to exceed the expectation.” SERVICE UNIT

What the CSU Vision Means to Me... VISION

“I can attest to the work of Angela Silverhorn and her commitment to the To provide quality
vision of Clinton Service Unit in exceeding the need” said Jeanine Seger, patient health care services

advocate. “The diligence she showed in a particular issue she worked on was focusing on
remarkable. Her effort underscores the high volume of work done in PRC, not prevention,
just in the number of calls the department receives, but in the amount of follow restoration and
collaborative
-up work a single call can generate. The impact of her efforts was relationships that are
restorative for me and my family. As health care workers, you may not know valued and exceeds
the needs of our
everything your patients are experiencing and what impact you will have.” patients, community,
and tribal partners.

Honoring Our Veterans

Veterans Day, previously known as Armistice Day, is celebrated on November 11th each year. The 11th was chosen to commemorate the
11th hour, of the 11th day, of the 11th month, when the Allies and Germans ceased fighting. This day was made an official holiday by Con-
gress in 1938. After World War II and the Korean War, Congress amended the commemoration to veterans, to honor American veterans of
all wars.

The Clinton Service Unit paused to reflect and honor the veterans who work amongst us and the Native communities we serve. CSU appre-
ciates your service, bravery, and willingness to fight for our country. If you see one of these very special people, please take a moment to
honor and thank them for their service.

Veterans of Clinton Service Unit

Clinton Indian Health Center Pictured above (left to right): Eric Stoneroad,
Pam Heapofbirds, Carolyn Fletcher, Eric Stoneroad,
Roger Davis — Air Force
Shane Enochs — Army Reserves and Shane Enochs.

Carolyn Fletcher — Army
Pam Heapofbirds — Army Reserves and National Guard

Eric Stoneroad—Army
Brien Weston — Air Force

El Reno Indian Health Center

Jonelle James — Navy

Watonga Indian Health Center

Juan Matanane — Air Force

Open Enrollment Kicks Off at

HealthCare.gov with Record Low Premiums

The start of the open enrollment period has kicked-off for reach efforts. Though CMS, the Department is concentrating its
HealthCare.gov. This year, on top of providing health care plans at outreach on people who are most in need of care and who have
record-low costs, the Biden-Harris Administration has extended the historically lacked access. Marketing efforts will include content in
Marketplace Open Enrollment Period by 30 days through January many different languages.
15 to ensure everyone possible has enough time to get covered.
“If you are in need of health care coverage, please go today to
To help communities with disproportionately high un-insurance HealthCare.gov where you will find health care coverage that is
rates, the Biden-Harris Administration has quadrupled its Navigator more affordable than ever,” said CMS Administrator Chiquita
footprint of people who can assist with the process of getting cov- Brooks-LaSure. “This Open Enrollment Period consumers will have
ered. With 1500 Navigators, the Administration has made assis- access to more plan options, more help, for an even longer period
tance available in nearly every county in the country. of time to enroll. For families in need, that means experiencing the
security of having comprehensive health insurance coverage for
Thanks to the American Rescue Plan (ARP), coverage is critically themselves and their loved ones.”
more affordable than ever. Four out of five people can find a plan
for $10 or less per month with this newly expanded financial assis- As a recent HHS Office of the Assistant Secretary for Planning and
tance. Additionally, there are more coverage options this season Evaluation (ASPE) report showed, increases in Medicaid and Mar-
than last, with the average consumer being able to choose between ketplace enrollment help offset decreases in employer-sponsored
six and seven insurance companies with plan options. coverage tied to the COVID-19 pandemic. When health coverage is
accessible and affordable, people sign up.
“Starting today, anyone who needs health insurance can find an
affordable option at HealthCare.gov.” said Health and Human Ser- All consumers shopping for health insurance coverage on
vices Secretary Xavier Becerra. “The Biden-Harris Administration is HealthCare.gov—even those who currently have coverage through
investing in the most robust Open Enrollment campaign — with the Marketplace—should enroll or re-enroll starting today by log-
record-low prices, more choices and 30 more days to pick a plan ging in to HealthCare.gov and CuidadodeSalud.gov or call
than last season. Health care should be a right and in reach for 1.800.318.2596 to fill out an application.
everyone. This Open Enrollment season, we will get closer to
achieving that goal.” To find local help or to be contacted by a Marketplace-registered
agent or broker, consumers should go to
The Centers for Medicare and Medicaid Services (CMS), which https://www.healthcare.gov/find-assistance/. Consumers, including
drives marketing and oversees the Navigator program on behalf of current enrollees, generally need to choose a plan by December 15
HHS, has made strides to also ensure material is available to as for full year coverage to start on January 1. Plans selected after
wide a group of people as possible: December 15 and by the January 15 Open Enrollment deadline will
generally start February 1.
 In total, there are over 5,500 assisters today (including
Navigators, certified application counselors, and other Find out more about key highlights and improvements in the
assisters) and over 48,000 agents and brokers. Marketplace 2022 Open Enrollment Season via this fact sheet:
https://www.cms.gov/newsroom/fact-sheets/marketplace-2022-
 CMS has re-launched its “Champions for Coverage” open-enrollment-fact-sheet.
program, which includes more than 2,100 local organi-
zations that will provide outreach and education about
the Marketplace and how consumers can enroll in cov-
erage.

Health equity is a central component of HHS’s marketing and out-



CLINTON SERVICE UNIT COVID-19 UPDATE

COVID-19 is a virus identified as the cause of an outbreak of respiratory illness first detected in Asia in late 2019 that has since spread
globally into a pandemic. The virus has spread across all 50 states. Clinton Service Unit is tracking how the virus spreads amongst our

community and service unit.

14 Day CSU Total Positive Patients by Age

7 Day Average of 0-4 Years 8
Positive COVID-19 Cases
in the State of Oklahoma 5-17 Years 18

825.3 18-35 Years 8

14 Day 36-49 Years 14
Positive COVID-19 Cases 50-64 Years 8
1
amongst CSU patients 65+ Years

57 14 Day CSU Total Positive Patients by Gender

Male 23

Female 34

14 Day CSU Total Positive Patients by County

Canadian 4
Custer 41
1
Beckham 4
Blaine 4
1
Roger Mills 1
Texas Unk 1

Dewey
Washita

Positivity Rate

The overall positivity rate for Clinton Service Unit is approximately 13%.

Positivity Rates

35%

30%

25%

20%

15%

10%

5%

0% 1/8/2 021 2/8/2 021 3/8/2021 4/8/2021 5/8/2021 6/8/2021 7/8/2021 8/8/2021 9/8/2021 10/8/2021 11/8/2021
11/8/2020 12/8/2020 CSU Total

Clinton El Reno Watonga



Purchased/Referred Care Update:

Scheduling of Outside Appointments
for those with Medicaid

Due to the growing number of patients eligible for health coverage through the Medicaid Expansion, Purchased/Referred Care (PRC) has
updated the process for scheduling appointments outside a Clinton Service Unit (CSU) facility. Patients may now coordinate their own
appointments with providers and facilities outside CSU.
This new process, allowing patients the ability to coordinate their own appointments, is intended to cut down on the amount of time it takes
to schedule with an outside provider. Patients may coordinate appointments on their time and availability, in an attempt to decrease no-
show rates and the need to reschedule.
The PRC program will continue to assist patients throughout the process of receiving services through an outside provider by sending the
required documentation to the vendor/provider. The department has developed an informational letter (see below) providing the vendor/
provider contact information to aid the patient in scheduling their appointments. Patients are asked to notify the Care Coordinator within
PRC of their scheduled appointment time. Doing so allows for CSU to keep record of services received outside of our facility and allows the
team to update the referral with the appointment date.
“Although, we have just implemented this process, we have already received positive feedback and the appreciation for allowing patients
the ability to schedule their own appointments according to their time availability,” said Tracy George, PRC supervisor. “We look forward to
much success and welcome any comments, thoughts, and opportunities to further assist patients to ensure they receive the care they
deserve.”

Sample letter sent by PRC to those patients asked to schedule appointments with providers outside Indian Health Services.

UPDATE: El Reno Expansion

The construction of the new facility for El Reno Indian Health Center continues to be on schedule, with an anticipated completion date for
early 2022. Over the past month, crews have installed electrical devices, millwork, countertops, interior glazing, lighting, doors, and hard-
ware. Over the course of the next few weeks, installation will begin for the restroom accessories, ceiling tiles, and wood ceiling. Below are
pictures of the existing construction.

Main Lobby Nurses’ Station

Registration

Clinton Service Unit Quarterly Award Recipients

Employee of the Quarter

Tonja “Toni” Ward

Tonja “Toni” Ward, mammographer, works every day to exceed the need of our patients.
She is dependable, capable, and strives to improve the lives of our patients with the care
and compassion. Ms. Ward has put an enormous amount of work into developing Clinton
Service Unit’s Diagnostic Mammography Program. The implementation of this program is
having a major impact on delivering the best possible care we can provide to our patients,
especially those who do not qualify for services through Purchased Referred Care. Clinton
Service Unit is blessed to have Ms. Ward.

Outstanding Customer Service

Amber Trent

Amber Trent, Clinton practical nurse, gives one-hundred percent every time she walks through the
doors of the clinic. She does not stop giving her all for the entire time she is here. Ms. Trent not
only helps to keep her provider on track, but she helps cover for the other nurses when they are off
or the clinic is shorted staffed. She stays positive, even when others around her are not so posi-
tive, and she is kind and considerate to her peers, coworkers, and our patients. Ms. Trent makes
sure our patients calls are returned as quickly as possible, and their questions are answered in a
way they understand.

Above and Beyond

Dr. Allison Levans

Dr. Allison Levans, Watonga dental chief, demonstrates steadfastness at her supervisory position at Watonga Dental. She has
maximized dental care delivery to our patients throughout the pandemic. In the past quarter, Dr. Levans was the top provider in

regards to productivity throughout Clinton Service Unit Dental. She accomplished top productivity with a reduced staffing
pattern and during the time of the Delta variant surge. Dr. Levans has maintained a high level of effectiveness and is
exemplary in her efforts.

Expert Foot Care

Clinton Indian Health Center offers podiatry services through the Physical Medicine depart- Dr. John Warrick, podiatrist, hosts a booth at the
ment by Dr. John Warrick, D.PM. As a foot health expert, Dr. Warrick is trained to prevent, Cheyenne and Arapaho Tribes’ Elder’s Conference.
diagnose, treat, and rehabilitate medical and surgical conditions of the feet and lower limbs.
Often, many of these conditions stem from other underlying health issues, such as diabetes,
stress fractures, and arthritis. Dr. Warrick is certified by the American Board of Foot and An-
kle Surgery and is a Certified Wound Specialists Physician by the American Board of Wound
Management. He diagnoses and treats many conditions affecting the foot, toe, and ankle,
including: bunions, hammer toes, heel pain, developmental concerns, wounds, gout, heel
pain, injuries, ingrown toenails, and other skin conditions. For a referral to podiatry services,
contact your Clinton Service Unit primary care provider.

HIV/AIDS Awareness

December is HIV/AIDS Awareness Month. Clinton Service Unit (CSU) wants to remind everyone about the importance of getting tested.
One of CSU’s ongoing missions is to raise awareness around HIV/AIDS, commemorate those who have passed on, and celebrate victo-
ries—such as increased access to treatment and prevention services.

To promote early diagnosis of HIV and to simplify the testing process, community members are able to provide verbal consent for voluntary
HIV testing. The lengthy pre-/post-test counseling is no longer required. Providers now give patients written materials on HIV. HIV testing is
no longer limited to only those community members who identify risk factors or risky behaviors. Voluntary HIV testing is now recommended
as part of routine medical care for all individuals.

What can you do? Get tested! Early diagnosis of HIV may substantially reduce the risk of transmitting the virus.
HIV testing is available at Clinton, El Reno, and Watonga Indian Health Centers upon request.

IHS Director’s Awards

Earlier this month, the Indian Health Service (IHS) Director recognized employees of IHS throughout the country with the IHS Director’s
Awards, the highest awards issued by IHS to individuals and groups. Out of nearly 540 nominations received, 412 nominations (for individ-
uals and groups) were selected, totaling more than 3,000 IHS employees and representing all 12 areas across the agency.

Clinton Service Unit (CSU) was honored to have a few or our own selected as recipients of this prestigious award. The IHS Director’s
Awards recognizes employees who significantly advance the mission and goals of IHS through their work focused on the IHS priorities of
people, partnerships, quality, and resources. Please join CSU in congratulating and celebrating our recipients!

2020 Individual Awards

Susan Bedwell

2020 Team/Group Awards

CSU Nursing
CSU Pharmacy
CSU Watonga Indian Health Center
CSU Laboratory Services

2019 Individual Awards

CDR Deonda Roberson
LCDR Michael Hunt
Dr. Matthew Fell
LT Amanda Haggard

2019 Team/Group Awards

CSU Public Health Nursing
CSU Drug Take-Back Team

Length of Service - 40 Years

Lydia Garvey
Anna Hulsey

Maintaining Your Dental Health

Oral hygiene is important to maintaining your dental and overall health. Healthy teeth and gums may be main-
tained with proper daily brushing and flossing. As a general rule, teeth should be brushed twice daily for approx-
imately two minutes, both in the morning and the evening. Flossing once daily allows all areas of the teeth to be
cleaned where the toothbrush does not reach. A mouth rinse approved by the American Dental Association,
which does not contain alcohol, may be used following brushing and flossing.

When should I change my toothbrush (or power-brush)?

 Every 3 months
 Consider replacing your toothbrush earlier if it frays or if the bristle tips begin to lose their color
 Children may need to replace their toothbrush sooner than every 3 months
 Replace AFTER being sick

If you are in need of a new tooth brush kit, stop by the Dental department. The Dental team is happy to provide you with a new tooth brush
kit at any time. For dental questions, or to schedule a dental appointment, call 580.331.3423.

Beverly Garrison

Registered Nurse | El Reno Indian Health Center

Beverly Garrison has served as a nurse for nearly 25 years. She has worked in a variety of health care settings, including direct
patient care, infection control, and quality. Mrs. Garrision has been married for 38 years, is a mom of three, and a “nanny” to eight.

“I’m very excited to join the IHS team!”

Shelly Pride

Medical Coder | Clinton Indian Health Center

Shelly Pride is a certified professional coder. She resides in Choctaw, Oklahoma and has been married for 25 years. Mrs. Pride has
four kids and seven grandkids, whom she loves dearly and enjoys spending time with. She has two fur babies who are spoiled rotten

and loves to travel.”



The POP Award recognizes Clinton Service Unit employees who exhibit
Personal Outstanding Performance. It is designed to encourage and
acknowledge employees for their everyday efforts and customer service.

Congratulations to all of our POP Stars!

Dr. Solomon Ali

“On the morning of November 5th, Dr. Ali called to notify me he had been in a car accident and would be a few minutes late to work,”
said Kateri Fletcher-Sahmaunt, El Reno/Watonga facility director. “Thankfully, Dr. Ali was fine, but his car suffered some damage.
When asked if he needed the day off, Dr. Ali quickly replied, no. I have patients that need me. Dr. Ali’s response exemplifies our
exceed the need motto by putting his patients before himself.”

Monica Halcomb

“Monica Halcomb was seeing patients via telehealth when the power in home went out,” said Kateri Fletcher-Sahmaunt, El
Reno/Watonga facility director. “Despite having no power, Monica continued to see her patients in a dark house, using her personal

cell phone’s hot spot. This is not the first time Monica has gone above and beyond to continue serving her patients.”

Dorothea Porras

“Dorothea has developed and assisted with multiple projects in the Physical Therapy (PT)/Podiatry department using her creative
computer skills,” said Susan Rose, PT chief. “We owe her a big thank you for development of a podiatry presentation handout on the
do/don’t for foot care and for developing communication to the service unit for National Physical therapy month. Dorothea does many

extra duties for the department that are appreciated!”

El Reno Clinic Staff

“A patient arrived for a scheduled appointment and while in the room began having a seizure,” said Kateri Fletcher-Sahmaunt, El
Reno/Watonga facility director. “Immediately, all clinic staff responded to this patient. Their quick response led to a prompt arrival by

EMS and the patient was taken to the hospital to receive further medical care. The El Reno staff showed amazing teamwork!”

Ines Martinez, Tangie McNess, and Tamara Jackson

“These three amazing women took the time to take the trash out from the COVID building,” said Sara Allen, environmental services.
“They did not have to do this, but they saw a need and took care of it. I greatly appreciate them!”





November is Alzheimer’s Awareness Month

November is Alzheimer’s Awareness Month, a time to heighten awareness about Alzheimer’s disease and show support for those in our
communities impacted by the disease and bring attention to the signs and symptoms of Alzheimer’s disease.

Facts About Alzheimer’s

Although Alzheimer’s affects approximately one in every twp families in the U.S., there’s still quite a bit of information about Alzheimer’s you
might not be aware of.

 Alzheimer’s is the most common form of dementia, a general term for memory loss and other cognitive abilities serious enough
to interfere with daily life. Alzheimer’s disease accounts for 60 to 80 percent of dementia cases.

 Alzheimer’s is not a normal part of aging. The greatest known risk factor is increasing age, and the majority of people with Alz-
heimer’s are 65 and older. But Alzheimer’s is not just a disease of old age. Approximately 200,000 Americans under the age of
65 have younger-onset Alzheimer’s disease (also known as early-onset Alzheimer’s).

 Alzheimer’s worsens over time. Alzheimer’s is a progressive disease, where dementia symptoms gradually worsen over a num-
ber of years. In its early stages, memory loss is milk, but with late-stage Alzheimer’s, individuals lose the ability to carry on a
conversation and respond to their environment. Alzheimer’s is the sixth leading cause of death in the United States. Those with
Alzheimer’s live an average of eight years after their symptoms become noticeable to others, but survival can range from four to
20 years, depending on age and other health conditions.

 Alzheimer’s has no current cure, but treatments for symptoms are available and research continues. Although current Alzhei-
mer’s treatments cannot stop Alzheimer’s form progressing, they can temporarily slow the worsening of dementia symptoms
and improve quality of life for those with Alzheimer’s and their caregivers.

Signs of Mild Alzheimer’s Disease

In mild Alzheimer’s disease, a person may seem to be healthy but has more and more trouble making sense of the world around him or her.
The realization that something is wrong often comes gradually to the person and his or her family. Problems can include:

 Memory loss
 Poor judgement leading to bad decisions
 Loss of spontaneity and sense of initiative
 Taking longer to complete normal daily tasks
 Repeating questions
 Trouble handling money and paying bills
 Wandering and getting lost
 Losing things or misplacing them in odd places
 Mood and personality changes
 Increased anxiety and/or aggression

Signs of Moderate Alzheimer’s Disease

 Increased memory loss and confusion
 Inability to learn new things
 Difficulty with language and problems with reading, writing, and working with numbers
 Difficulty organizing thoughts and thinking logically
 Shortened attention span
 Problems coping with new situations
 Difficulty carrying out multistep tasks, such as getting dressed
 Problems recognizing family and friends
 Hallucinations, delusions, and paranoia
 Impulsive behaviors such as undressing at inappropriate times or places or using vulgar language
 Inappropriate outbursts of anger
 Restlessness, agitation, anxiety, tearfulness, wandering—especially In the late afternoon or evening
 Repetitive statements or movement, occasional muscle twitches

Signs of Severe Alzheimer’s Disease

People with severe Alzheimer’s cannot communicate and are completely dependent on others for their care. Near the end, the person may
be in bed most or all of the time as the body shuts down. Their symptoms often include:

 Inability to communicate
 Weight loss
 Seizures
 Skin infections
 Difficulty swallowing
 Groaning, moaning, or grunting
 Increased sleeping
 Loss of bowel and bladder control.



Clinton Service Unit

Department Directory

CLINTON INDIAN HEALTH CENTER 580.331.3300
10321 N. 2274 Road ~ Clinton, OK ~ 73601

Request to establish chart: 580.331.3369

Cedar Medical Home SweetGrass Medical Home Willow Medical Home

Ginger Woodall & Michelle Beshaw Dr. Maqbool, Dr. Garner Dr. Egan, Dr. Middleton, & Dr. Skelly
Apts: 580.331.3424 & Jessica Van Den Berg Apts: 580.331.3466
Nurse: 580.331.3424 Apts: 580. 331.3412 Nurse: 580.331.3466
PRC: 580.331.3363 Nurse: 580.331.3412 PRC: 580.331.3307
PRC: 580.331.3513
580.331.3420

Audiology: 580.331-3482 DEPARTMENTS Chiropractic: 580.331.3439
Dental: 580.331.3423 Optometry: 580.331.3413
Pharmacy: 580.331.3351 Behavioral Health: 580.331.3485 Podiatry: 580.331.3439
PHN: 580.331.3471 Nutrition: 580.331.3458 Radiology: 580.331.3415
Release of Info: 580.331.3377 Physical Therapy: 580.331.3439
PRC: 580.331.3590
Wound Care: 580.331.3439

EL RENO INDIAN HEALTH CENTER 405.234.8400
1801 Parkview Drive ~ El Reno, OK ~ 73036
Request to establish chart: 405.234.8427

Eagle Medical Home Otter Medical Home Pediatrics

Dr. Garcia, Monica Holcomb Dr. Renshaw & Fayth-An Hope Gray Dr. Mejias
& Michelle Tippeconnic Apts: 405.234.8411 Apts: 405. 234.8411
Apts: 405.234-8439 Nurse: 405.234.8411 Nurse: 405.234.8411
Nurse: 405.234.8439 PRC: 580.331.3336 PRC: 580. 331.3307
PRC: 580.331.3336

Behavioral Health: 405.234.8426 DEPARTMENTS PHN: 405.234.8430
PRC: 580.331.3590
Pharmacy: 405.234.8423
Release of Info: 405.234.8403

WATONGA INDIAN HEALTH CENTER 580.623.4991
1305 S. Clarence Nash Boulevard ~ Watonga, OK ~ 73772

Request to establish chart: (580) 623-4991 ext. 3000

Turtle Medical Home Pediatrics

Dr. Ali & Fayth-An Hope Gray Dr. Mejias
Apts: 580.623-4991 Apts: 580.623.4991
Nurse: 580.623.4991 Nurse: 580.623.4991
PRC: 580.331.3336 PRC: 580.331.3307

DEPARTMENTS PRC: 580.331.3590
Pharmacy: 580.623.4991 PHN: 580.623.4991
Dental: 580.623.4991 ext. 3007 Release of Info: 580.623.4991

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