| Cofmc Noble | |
|
303 72nd Se Noble OK 73068 | |
| (405) 872-1270 | |
| (405) 872-1269 |
| Full Name | Cofmc Noble |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 303 72nd Se, Noble, Oklahoma |
| Authorized Official Name and Position | Denise Sharp (INTERIM CEO) |
| Authorized Official Contact | 5809253286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cofmc Noble Po Box 358 527 W 3rd St Konawa OK 74849 Ph: (580) 925-3286 | Cofmc Noble 303 72nd Se Noble OK 73068 Ph: (405) 872-1270 |
| NPI Number | 1194937904 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194937904 | NPI | - | NPPES |
| 100737160D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Impact Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Main St, Noble, OK 73068 Phone: 405-872-8461 Fax: 405-872-8466 | |
Shae Keen, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Lakeside Dr, Noble, OK 73068 Phone: 405-209-1209 |