| Central Oklahoma Family Medical Center | |
|
527 W 3rd St Konawa OK 74849-1415 | |
| (580) 925-3266 | |
| (580) 925-9149 |
| Full Name | Central Oklahoma Family Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 527 W 3rd St, Konawa, Oklahoma |
| Authorized Official Name and Position | Kasey Lee Brundidge (PA-C) |
| Authorized Official Contact | 5809253266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oklahoma Family Medical Center 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3266 | Central Oklahoma Family Medical Center 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3266 |
| NPI Number | 1306973094 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306973094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1618 (Oklahoma) | Primary |
Central Oklahoma Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 | |
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 |