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Contact Information

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
1131 ARLINGTON ST
ADA, OK74820-4038
 Phone: 580-332-5720
 Fax: 580-332-5724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.

NPI # 1962509802
LBN Legal business name CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Authorized official BRENDA WARE - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/20/2006
Last updated 10/07/2025 - About 8 months ago
Identifiers
OK License # 23-6131
OK Medicaid 100234590A
Other 2138726 PK
OK Other 23-9228 LICENSE
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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