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Contact Information

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
304 N MONTE VISTA STREET
ADA, OK74820-7484
 Phone: 580-436-5111
 Fax: 580-925-9147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dental

261QD0000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC

NPI Number 1295500429
LBN Legal business name CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Authorized official BRENDA WARE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2023
Last updated 03/01/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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