| Central Oklahoma Family Medical Center Inc | |
|
625 N Monte Vista St Ada OK 74820-4613 | |
| (436) 511-1436 | |
| (580) 925-9149 |
| Full Name | Central Oklahoma Family Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 625 N Monte Vista St, Ada, Oklahoma |
| Authorized Official Name and Position | Brenda Ware (CEO) |
| Authorized Official Contact | 5809253286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 625 N Monte Vista St Ada OK 74820-4613 Ph: (436) 511-1436 |
| NPI Number | 1316608938 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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