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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