SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC. NPI 1366585564

NPI Information

NPI: 1366585564
Provider Name: SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 37D2176237

Address:
216 S MAIN ST
LINDSAY, OK
ZIP 73052
Phone: (405) 756-1414
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SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC. is a federally qualified health center (fqhc) clinic center in Lindsay, OK. SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC. NPI is 1366585564. The provider is registered as an organization entity type.

The provider's business location address is:

216 S MAIN ST
LINDSAY, OK
ZIP 73052-634
Phone: (405) 756-1414
Fax: (405) 756-1162

The provider's authorized official is Lacy Lee Curry .
The authorized official title is Ceo and has the following contact phone number (405) 756-1414.

The CLIA number assigned to this NPI record is 37D2176237 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 10/11/2019.

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	261QP2300X	Clinic/Center	Primary Care			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200104590A	MEDICAID	OKLAHOMA

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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