# SOUTHERN PLAINS MEDICAL CENTER SPMC-ASC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPMC-ASC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841954054
- **Authorized official:** HARESHKUMAR BOGHARA MD (OWNER)
- **Authorized official phone:** (405) 825-4400

## Contact information

- **Practice address:** 2222 W IOWA AVE, CHICKASHA, OK 73018-2738
- **Practice address phone:** (405) 224-8111
- **Mailing address:** 2222 W IOWA AVE, CHICKASHA, OK 73018-2738
- **Mailing address phone:** (405) 825-4400
- **Mailing address fax:** (405) 825-4530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 09/02/2025
