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Organization

CENTRAL OK FAMILY MED CTR

Active
Parent organization
CENTRAL OKLAHOOMA FAMILY MEDICAL CENTER
Other names
COFMC Noble
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL OKLAHOOMA FAMILY MEDICAL CENTER
Authorized official
MRS. DENISE SHARP AR,NP. (INTERIM CEO)
(580) 925-3286
Entity
Organization

Contact information

Practice address
303 72ND SE, NOBLE, OK 73068
(405) 872-1270
(405) 872-1269
Mailing address
PO BOX 358, 527 W 3RD ST, KONAWA, OK 74849
(580) 925-3286
(580) 925-2362

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100737160D
OK
Enumeration date
05/04/2007
Last updated
10/04/2010
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