| Southeastern Oklahoma Family Services, Inc | |
|
512 E 24th St Tishomingo OK 73460-3214 | |
| (580) 371-3672 | |
| (580) 371-3651 |
| Full Name | Southeastern Oklahoma Family Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 512 E 24th St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Sharon Rene Murphy (VICE PRESIDENT OF ADMINSTRATIVE) |
| Authorized Official Contact | 5807459610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oklahoma Family Services, Inc Po Box 1710 Kingston OK 73439-1710 Ph: (580) 745-9610 | Southeastern Oklahoma Family Services, Inc 512 E 24th St Tishomingo OK 73460-3214 Ph: (580) 371-3672 |
| NPI Number | 1891110714 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891110714 | NPI | - | NPPES |
| 100708380 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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