Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY HAROLD ANSON (EXECUTIVE DIRECTOR)
(580) 925-3286
Entity
Organization
Contact information
Practice address
NBU 1706 HIGHWAY 99 SOUTH, PRAGUE, OK 74864
(580) 925-3286
(580) 925-2362
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(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
Enumeration date
08/07/2008
Last updated
08/07/2008
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