Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Active
Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Active
Other names
Central Oklahoma Family Medical Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WARE (CEO)
(580) 925-3286
Entity
Organization
Contact information
Practice address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-8855
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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