# CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821860503
- **Authorized official:** BRENDA WARE (CEO)
- **Authorized official phone:** (580) 925-3286

## Contact information

- **Practice address:** 304 N MONTE VISTA ST, ADA, OK 74820
- **Practice address phone:** (580) 436-1111
- **Practice address fax:** (580) 436-1159
- **Mailing address:** 527 W 3RD ST, KONAWA, OK 74849-1415
- **Mailing address phone:** (580) 925-3286
- **Mailing address fax:** (580) 925-2362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2023
- **Last updated:** 10/25/2023