Southeastern Oklahoma Family Services, Inc | |
113653 Old Highway 69 Checotah OK 74426-8802 | |
(918) 490-2073 | |
Not Available |
Full Name | Southeastern Oklahoma Family Services, Inc |
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Speciality | Community/behavioral Health |
Location | 113653 Old Highway 69, Checotah, Oklahoma |
Authorized Official Name and Position | Bre'yon James (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9184903800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southeastern Oklahoma Family Services, Inc Po Box 1710 Kingston OK 73439-1710 Ph: (580) 564-7374 | Southeastern Oklahoma Family Services, Inc 113653 Old Highway 69 Checotah OK 74426-8802 Ph: (918) 490-2073 |
NPI Number | 1376884312 |
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Provider Enumeration Date | 03/14/2013 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376884312 | NPI | - | NPPES |
100708380 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Southeastern Oklahoma Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113653 Old Highway 69, Checotah, OK 74426 Phone: 580-795-6377 |