Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Active
Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Active
Parent organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC
Authorized official
BRENDA WARE (CEO)
(580) 925-3286
Entity
Organization
Contact information
Practice address
201 W MAIN ST, STONEWALL, OK 74871
(580) 925-3286
(580) 925-9149
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OK
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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