# SOUTHERN PLAINS MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN PLAINS MEDICAL CENTER, INC
- **Other names:** CareFirst Wellness Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477101715
- **Legal business name:** SOUTHERN PLAINS MEDICAL CENTER, INC
- **Authorized official:** HARESHKUMAR BOGHARA (OWNER)
- **Authorized official phone:** (405) 224-8111

## Contact information

- **Practice address:** 101 N CARTER ST STE 300, PAULS VALLEY, OK 73075-9812
- **Practice address phone:** (405) 331-5128
- **Practice address fax:** (405) 867-4406
- **Mailing address:** 2222 W IOWA AVE, CHICKASHA, OK 73018-2738
- **Mailing address phone:** (405) 825-3707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2019
- **Last updated:** 03/14/2025