Organization
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Active
Organization
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Active
Parent organization
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Authorized official
DONNA DYER (CEO)
(405) 452-3151
Entity
Organization
Contact information
Practice address
104 E SHURDEN INDUSTRIAL BLVD, HENRYETTA, OK 74437-7323
(918) 652-9614
(918) 652-4831
Mailing address
PO BOX 236, WETUMKA, OK 74883-0236
(405) 452-3151
(405) 452-3310
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371886
MEDICARE CCN
OK
Enumeration date
08/30/2012
Last updated
07/17/2025
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