Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WARE (CEO)
(580) 925-3286
Entity
Organization
Contact information
Practice address
325 N MONTE VISTA ST, ADA, OK 74820-4607
(580) 436-5111
(580) 925-9149
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-2362
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
04/01/2024
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