National Provider Identifier Database

CENTRAL OK FAMILY MED CTR
Mental Health (Including Community Mental Health Center)


Contact Information

CENTRAL OK FAMILY MED CTR
527 W 3RD ST
KONAWA, OK74849
Phone: 580-925-3286
Fax: 580-925-2362
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for CENTRAL OK FAMILY MED CTR

NPI Number 1649485996
Legal business name
LBN
CENTRAL OK FAMILY MED CTR
Authorized official DENISE SHARP - (INTERIM CE.O.)
Entity Organization
Organization subpart No
Enumeration date 05/11/2007
Last updated 10/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100737160D

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CENTRAL OK FAMILY MED CTR

There are currently no reviews for CENTRAL OK FAMILY MED CTR


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