CENTRAL OK FAMILY MED CTR; NPI #1649485996

Contact Information

CENTRAL OK FAMILY MED CTR

527 W 3RD ST
KONAWA, OK 74849

Phone: 580-925-3286
Fax: 580-925-2362
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for CENTRAL OK FAMILY MED CTR

NPI # 1649485996

LBN Legal business name CENTRAL OK FAMILY MED CTR

Authorized official DENISE SHARP - (INTERIM CE.O.)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2007

Last updated 10/04/2010 - About 16 years ago

Identifiers

Medicaid

100737160D

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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