FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC; NPI #1427429687

Contact Information

FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

610 E 24TH ST
TISHOMINGO, OK 73460-3245

Phone: 580-371-0203
Fax: 580-371-0205
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

NPI # 1427429687

LBN Legal business name FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

Authorized official JOE BURNS - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/14/2015

Last updated 08/21/2024 - More than a year ago

Identifiers

License #

61-7438

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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