Central Oklahoma Family Medical Center Inc | |
301 N Monte Vista St Ada OK 74820-4607 | |
(580) 436-5111 | |
(580) 279-1994 |
Full Name | Central Oklahoma Family Medical Center Inc |
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Speciality | Clinic/Center |
Location | 301 N Monte Vista 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 |
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Central Oklahoma Family Medical Center Inc 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3286 | Central Oklahoma Family Medical Center Inc 301 N Monte Vista St Ada OK 74820-4607 Ph: (580) 436-5111 |
NPI Number | 1356011886 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 09/16/2021 |
Medicare PECOS PAC ID | 9931189685 |
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Medicare Enrollment ID | O20211112000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356011886 | 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 | |
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