CENTRAL OKLAHOMA FAMILY MEDICAL CENTER NPI 1306973094

NPI Information

NPI: 1306973094
Provider Name: CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
527 W 3RD ST
KONAWA, OK
ZIP 74849
Phone: (580) 925-3266
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CENTRAL OKLAHOMA FAMILY MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Konawa, OK. CENTRAL OKLAHOMA FAMILY MEDICAL CENTER NPI is 1306973094. The provider is registered as an organization entity type.

The provider's business location address is:

527 W 3RD ST
KONAWA, OK
ZIP 74849-415
Phone: (580) 925-3266
Fax: (580) 925-9149

The provider's authorized official is Kasey Lee Brundidge .
The authorized official title is Pa-c and has the following contact phone number (580) 925-3266.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	1618	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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