Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Active
Other names
Central Oklahoma Family Med Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WARE (CEO)
(580) 925-3286
Entity
Organization
Contact information
Practice address
527 WEST 3RD ST, KONAWA, OK 74849
(580) 925-3286
(580) 925-2362
Mailing address
527 WEST 3RD STREET, KONAWA, OK 74849
(580) 925-3286
(580) 925-9149
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100737160D
—
OK
Enumeration date
09/05/2006
Last updated
01/31/2022
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