| Central Oklahoma Family Medical Center, Inc. | |
|
1221 Arlington St Suite B Ada OK 74820-4058 | |
| (580) 925-3286 | |
| (580) 925-9149 |
| Full Name | Central Oklahoma Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1221 Arlington St, Ada, Oklahoma |
| Authorized Official Name and Position | Brenda Ware (CEO) |
| Authorized Official Contact | 5809253286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oklahoma Family Medical Center, Inc. 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3286 | Central Oklahoma Family Medical Center, Inc. 1221 Arlington St Suite B Ada OK 74820-4058 Ph: (580) 925-3286 |
| NPI Number | 1154704237 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 9931189685 |
|---|---|
| Medicare Enrollment ID | O20150914001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154704237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ada Family Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Monte Vista St, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 | |
Central Oklahoma Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-925-9149 | |
Central Oklahoma Family Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Colony Drive Bldg, Ada, OK 74820 Phone: 580-925-3286 | |
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Family Physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Augusta Dr, Ada, OK 74820 Phone: 918-728-4942 Fax: 918-770-8456 |