# JAMES DENNIS MEDICAL FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053437251
- **Authorized official:** MRS. PEGGY SUE MITCHELL (ADMINISTRATOR)
- **Authorized official phone:** (580) 594-2292

## Contact information

- **Practice address:** 1153 CHEROKEE ST, WAKITA, OK 73771-5095
- **Practice address phone:** (580) 594-2292
- **Practice address fax:** (580) 594-2534
- **Mailing address:** 1153 CHEROKEE ST, WAKITA, OK 73771-9520
- **Mailing address phone:** (580) 594-2292
- **Mailing address fax:** (580) 594-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2701-2701 | OK | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 04/18/2014