Central Oklahoma Family Medical Center | |
Nbu 1706 Highway 99 South Prague OK 74864 | |
(580) 925-3286 | |
(580) 925-2362 |
Full Name | Central Oklahoma Family Medical Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | Nbu 1706 Highway 99 South, Prague, Oklahoma |
Authorized Official Name and Position | Casey Harold Anson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5809253286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Oklahoma Family Medical Center 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3286 | Central Oklahoma Family Medical Center Nbu 1706 Highway 99 South Prague OK 74864 Ph: (580) 925-3286 |
NPI Number | 1598911752 |
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Provider Enumeration Date | 08/07/2008 |
Last Update Date | 08/07/2008 |
Identifier | Type | State | Issuer |
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1598911752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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