Organization
SOUTHERN PLAINS MEDICAL CENTER INC
Active
Other names
CareFirst Wellness Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESHKUMAR BOGHARA MD (OWNER)
(405) 224-8111
Entity
Organization
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 574-7750
Mailing address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 574-7750
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707760B
—
OK
Enumeration date
05/01/2006
Last updated
03/14/2025
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