| Family Health Center Of Southern Oklahoma Inc | |
|
610 E 24th St Tishomingo OK 73460-3245 | |
| (580) 371-2343 | |
| (580) 371-3614 |
| Full Name | Family Health Center Of Southern Oklahoma Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 610 E 24th St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Ashley Wells (CREDENTIALING OFFICER) |
| Authorized Official Contact | 5803870509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Southern Oklahoma Inc 610 E 24th St Tishomingo OK 73460-3245 Ph: (580) 371-2343 | Family Health Center Of Southern Oklahoma Inc 610 E 24th St Tishomingo OK 73460-3245 Ph: (580) 371-2343 |
| NPI Number | 1598140212 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598140212 | NPI | - | NPPES |
| 200018910E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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