| Cofmc Prague | |
|
Rt 1 Box 85a Prague OK 74864 | |
| (405) 567-0054 | |
| (405) 567-0087 |
| Full Name | Cofmc Prague |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Rt 1 Box 85a, Prague, Oklahoma |
| Authorized Official Name and Position | Casey H Anson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5809258819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cofmc Prague Po Box 358 527 W 3rd St Konawa OK 74849 Ph: (580) 925-3286 | Cofmc Prague Rt 1 Box 85a Prague OK 74864 Ph: (405) 567-0054 |
| NPI Number | 1720290539 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Waypoint Mental Health Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 N Jim Thorpe Blvd, Prague, OK 74864 Phone: 405-567-7059 | |
Land Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57523 Moccasin Trail Road, Prague, OK 74864 Phone: 405-567-0054 | |
Lindsey Logan Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 N Jim Thorpe Blvd, Prague, OK 74864 Phone: 405-567-7059 | |
Central Oklahoma Family Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nbu 1706 Highway 99 South, Prague, OK 74864 Phone: 580-925-3286 Fax: 580-925-2362 |