| Central Oklahoma Family Medical Center, Inc. | |
|
527 W 3rd St Konawa OK 74849-1415 | |
| (580) 925-3286 | |
| Not Available |
| Full Name | Central Oklahoma Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 527 W 3rd St, Konawa, 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. 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3286 |
| NPI Number | 1508952912 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/05/2014 |
| Medicare PECOS PAC ID | 9931189685 |
|---|---|
| Medicare Enrollment ID | O20080418000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508952912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Oklahoma Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3266 Fax: 580-925-9149 | |
Central Oklahoma Family Med Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 West 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 |